Individual
DANA MCKENZIE LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 GARDENIA DR, COVINGTON, LA 70433-9194
(985) 898-4001
Mailing address
PO BOX 669379, DALLAS, TX 75266-9379
(985) 898-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865738
MS
Other
Enumeration date
08/10/2010
Last updated
12/06/2023
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