Organization
LYLE J. REBER, MD, INC
Active
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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