Lyle Dean Washington

NPI #1124770813 in Pawnee, Oklahoma

Provider Information

NPI Number: 1124770813
Entity Type: Individual
Name: Lyle Dean Washington
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 24, 2022
Last Updated: Jan 24, 2022

Practice Location

Address: 601 PARK ST
City: Pawnee
State: Oklahoma
ZIP Code: 74058-4508
Phone: (405) 564-2879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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