Individual
DOMINIQUE LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6503 BELLE VISTA AVE, BALTIMORE, MD 21206-1648
(443) 841-2077
Mailing address
6503 BELLE VISTA AVE, BALTIMORE, MD 21206-1648
(443) 841-2077
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
R205048
MD
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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