Individual provider · Type 1 NPI
Lafayette Michael Tylee, MD
Adult Medicine Physician · Victorville, CA
NPI number
1275612798
Active
Practice location
15080 7th St.
Victorville, CA 92395-3865
Fax (760) 243-6990
Mailing address
15797 Lime St.
Hesperiq, CA 92345-3914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | G52123 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1275612798
Lafayette Michael Tylee, MD's National Provider Identifier is 1275612798, issued on Nov 3, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Victorville, CA. The record was last updated on Jul 8, 2007.