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Organization

LYLE J. REBER, MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYLE J. REBER M.D. (PRESIDENT)
(760) 625-1650
Entity
Organization

Contact information

Practice address
47110 WASHINGTON ST, SUITE 103, LA QUINTA, CA 92253-2186
(760) 625-1650
(760) 625-1654
Mailing address
47110 WASHINGTON ST, SUITE 201, LA QUINTA, CA 92253-2186
(760) 625-1653
(760) 625-1654

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G68674
CA

Other

Enumeration date
11/08/2013
Last updated
11/08/2013
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