Individual
LYNDA G CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(660) 826-1300
Mailing address
305 W MAIN ST, SEDALIA, MO 65301-3821
(573) 378-2351
(660) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010005627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831412147
—
MO
01
—
43747016
BCBS
—
01
—
43747026
BCBS
—
05
—
540568508
—
MO
05
—
595956103
—
MO
05
—
595985805
—
MO
Enumeration date
03/02/2010
Last updated
03/19/2025
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