Individual
MR. MATTHEW LAMAR LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6700
(985) 730-6713
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APO4029
LA
367500000X
Certified Registered Nurse Anesthetist
C02817
AR
367500000X
Certified Registered Nurse Anesthetist
RN089353
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740210061
—
MO
05
—
183618001
—
AR
05
—
200497160A
—
OK
Enumeration date
07/03/2006
Last updated
07/07/2021
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