Individual
LYLE S MINDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1540 LAKE LANSING RD, SUITE 107, LANSING, MI 48912-3756
(517) 913-3800
(517) 913-3901
Mailing address
1540 LAKE LANSING RD, SUITE 107, LANSING, MI 48912-3756
(517) 913-3800
(517) 913-3901
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101007752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4739235
—
MI
Enumeration date
04/22/2006
Last updated
07/14/2011
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