Doctor Name: | DR. STARLA N. LYLES |
NPI Number: | 1023303922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 1145 Sturgis Rd. Twentynine Palms, CA - 92278 |
Business Phone Number: | 7608302724 |
Business Fax Number: | 7608301650 |
Mailing Address: | Po Box 788250, TWENTYNINE PALMS |
State: | CA |
Postal Code: | 92278 |
Phone Number: | 7608302724 |
Fax Number: | 7608301650 |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |