Individual
MS. LARA PARHAM LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 2ND ST APT A3, BLYTHEVILLE, AR 72315-2021
(910) 742-5229
Mailing address
1931 OAKLEY RD, CASTLE HAYNE, NC 28429-4419
(910) 742-5229
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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