Lyle, Matthew Lamar

Lyle, Matthew Lamar is an individual health care provider with primary practice located at 433 Plaza St , Bogalusa LA 70427-3729. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lyle, Matthew Lamar can be contacted via phone (985) 730-6700.

Contact Information

Primary practice address
433 Plaza St Bogalusa LA 70427-3729
Phone: (985) 730-6700
Fax: (985) 730-6713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN089353 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C02817 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APO4029 Louisiana

Profile Details

NPI number 1740210061
LBN Legal business name Lyle, Matthew Lamar
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 7th, 2021 - about 5 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 1740210061 NPPES
Arkansas MEDICAID 183618001
Arkansas MEDICAID 1740210061
Arkansas MEDICAID 200497160A

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