Individual
DAWN LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11454 FAIR ACRES RD, SAINT LOUIS, MO 63136-6218
(314) 835-7203
Mailing address
11454 FAIR ACRES RD, SAINT LOUIS, MO 63136-6218
(314) 835-7203
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2019030844
MO
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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