Organization Name: | LYLE J REBER MD, INC. |
NPI Number: | 1053740670 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYLE JONATHAN REBER (OWNER) |
Mailing Address: | 47110 Washington St Ste 103 La Quinta |
State: | CA US |
Postal Code: | 922532186 |
Phone Number: | 7609724580 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |