Lyle James Blaylock, CNIM
NPI #1740393974 in Richardson, Texas
Provider Information
- NPI Number
- 1740393974
- Entity Type
- Individual
- Name
- Lyle James Blaylock, CNIM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Credential
- CNIM
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Sep 3, 2019
Practice Location
- Address
- 1819 JAY ELL DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-1837
- Phone
- (888) 344-2947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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