Doctor Name: | SARAH LYLE |
NPI Number: | 1598901621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 29968 |
Business Practice Address: | 429 Madrona St Eastsound, WA - 982458573 |
Business Phone Number: | 3603767337 |
Business Fax Number: | |
Mailing Address: | 429 Madrona St, EASTSOUND |
State: | WA |
Postal Code: | 982458573 |
Phone Number: | 3603767337 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 12/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | 29968 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |