Individual
TERESA A LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
109 W WALL ST, FROSTPROOF, FL 33843-2043
(863) 635-4891
(863) 635-3545
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 268-7850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9367310
FL
Other
Enumeration date
08/20/2006
Last updated
10/25/2018
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