SearchIllinoisNon-emergency Medical Transport (VAN)

Otis Lyles

NPI 1609439272 · on the registry since 2019 · sole proprietor

Practice

Address
305 Lynn Dr
Alton, IL 62002
Phone
(314) 581-7735
Fax
(618) 466-5501

Additional practice sites

  • 1999 Old Jamestown Rd, Florissant, MO

Registry record

Primary taxonomy
Non-emergency Medical Transport (VAN)
343900000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-18

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 Illinois