Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE D PAHNKE JR., MD
ActiveLYLE D PAHNKE JR., MD is a Vascular Surgery healthcare provider located in CENTRALIA, Illinois. NPI 1770538225 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · CENTRALIA, IL
Registration Details
- NPI Number
- 1770538225
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.264074168295 yrs)
- Last Updated
- Apr 15, 2022
- Licenses
-
036089773 (IL)036089773 (IL)036089773 (IL)
Practice Information
- Address
-
400 N PLEASANT AVECENTRALIA, IL, 628013056Browse IL providers · Browse ZIP 62801
- Phone
- 6184366318
- Fax
- 6184366386
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
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.