Individual
DR. LYLE H ABBAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC ACUPUNCTURIST
Contact information
Practice address
211 S 8TH ST, CLEAR LAKE, IA 50428-1909
(641) 357-1636
Mailing address
211 S 8TH ST, CLEAR LAKE, IA 50428-1909
(641) 357-1636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
02940
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00307
WELLMARK BCBS
IN
05
—
003079
—
IA
Enumeration date
09/15/2005
Last updated
07/08/2007
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