Individual
LAINE ALEXANDRA LYLES
Active
Individual
LAINE ALEXANDRA LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL83600
SC
207RG0100X
Gastroenterology Physician
Primary
340742
LA
Other
Enumeration date
05/19/2021
Last updated
06/07/2024
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