Individual
ELYSHA DAWN LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3045 KATE BOND RD, BARTLETT, TN 38133-4004
(901) 381-4664
(901) 373-0804
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4293
TN
363AS0400X
Surgical Physician Assistant
Primary
4293
TN
Other
Enumeration date
01/19/2020
Last updated
05/22/2024
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