Board, Lyle Everett

Board, Lyle Everett is an individual health care provider with primary practice located at 8080 Bluebonnet Blvd , Baton Rouge LA 70810-7827. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, which is considered as his primary health care specialty. Board, Lyle Everett can be contacted via phone (225) 408-7990.

Contact Information

Primary practice address
8080 Bluebonnet Blvd Baton Rouge LA 70810-7827
Phone: (225) 408-7990
Fax: (225) 408-7989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X J00203 Louisiana

Profile Details

NPI number 1962440404
LBN Legal business name Board, Lyle Everett
Credentials ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962440404 NPPES
Louisiana Other J00203 STATE LICENSE

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