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Jody Lyle, CRNA

NPI 1265764310 · on the registry since 2010

Practice

Address
5424 Discovery Park Boulevard
Bldg. A, Suite 101
Williamsburg, VA 23188
Phone
(757) 707-3505
Fax
(757) 707-3506
Organisation at this address
Tidewater Physicians Multispecialty Group Pc
Tidewater Physicians Multispecialty Group Pc
Tidewater Physicians Multispecialty Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 10800 Midlothian Tpke, Richmond, VA
  • 10800 Midlothian Tpke, Richmond, VA

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia