Individual
LYLE B HUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6480 PENTZ RD, SUITE A, PARADISE, CA 95969-3672
(530) 877-4983
(530) 877-8621
Mailing address
6480 PENTZ RD, SUITE A, PARADISE, CA 95969-3672
(530) 877-4983
(530) 877-8621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G544660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G544660
—
CA
01
—
020004649
RAILROAD MEDICARE
CA
01
—
660066807
TRICARE
CA
01
—
680066807
BLUE CROSS
CA
01
—
G544660
BLUE SHIELD HMO
CA
01
—
ZZZ97927A
BLUE SHIELD
CA
01
—
ZZZ97927Z
BLUE SHIELD
CA
Enumeration date
07/10/2006
Last updated
08/26/2013
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