Individual
LYLE CHANEY DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-2000
Mailing address
108 CEDAR CREEK DR, DUBLIN, GA 31021-4200
(478) 697-1054
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN149260
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618336666B
—
GA
Enumeration date
05/20/2006
Last updated
10/21/2025
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