Joyce, David Lyle

Joyce, David Lyle is an individual health care provider with primary practice located at 3200 Channing Way Ste 205 , Idaho Falls ID 83404-7546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Joyce, David Lyle can be contacted via phone (208) 535-4580.

Contact Information

Primary practice address
3200 Channing Way Ste 205 Idaho Falls ID 83404-7546
Phone: (208) 535-4580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 62764 Wisconsin
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 54702 Minnesota
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 105635 Minnesota
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MC-1821 Idaho

Profile Details

NPI number 1558416115
LBN Legal business name Joyce, David Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 20th, 2023 - about 2 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 1558416115 NPPES
Wisconsin MEDICAID 1558416115

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