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Individual

MR. CHRISTOPHER S LYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 750-0875
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2688
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180495721
AR
Enumeration date
01/20/2010
Last updated
04/21/2010
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