Harrison, Lyle

Harrison, Lyle is an individual health care provider with primary practice located at 720 W Central Ave , El Dorado KS 67042-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Harrison, Lyle can be contacted via phone (316) 321-8780.

Contact Information

Primary practice address
720 W Central Ave El Dorado KS 67042-2112
Phone: (316) 321-8780
Fax: (316) 321-8723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 7666 North Dakota
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0441126 Kansas

Profile Details

NPI number 1750453361
LBN Legal business name Harrison, Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 15th, 2021 - about 4 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 1750453361 NPPES
Kansas Other EA5581 RADIATION ONCOLOGY
Kansas MEDICAID 201205230A RADIATION ONCOLOGY

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