MR. Tony Wayne Lyle, NAVY IDC

NPI #1144429507 in Kings Bay, Georgia

Provider Information

NPI Number
1144429507
Entity Type
Individual
Name
MR. Tony Wayne Lyle, NAVY IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
NAVY IDC
Enumeration Date
Jul 16, 2007
Last Updated
Jul 16, 2007

Practice Location

Address
1061 USS TENNESSEE AVE
State
Georgia
ZIP Code
31547
Phone
(912) 573-4540

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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