Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OTIS D LYLES JR.
Active Sole ProprietorOTIS D LYLES JR. is a Bus healthcare provider located in ALTON, Illinois. NPI 1609439272 is currently active in the NPPES registry. Verify at CMS.
Bus · ALTON, IL
Registration Details
- NPI Number
- 1609439272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2019 (7.3427933767574 yrs)
- Last Updated
- Apr 18, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 LYNN DRALTON, IL, 620027508Browse IL providers · Browse ZIP 62002
- Phone
- 3145817735
- Fax
- 6184665501
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.