Individual provider · Type 1 NPI
Otis D. Lyles Jr.
Non-emergency Medical Transport (VAN) · Alton, IL
NPI number
1609439272
Active
Practice location
305 Lynn Dr
Alton, IL 62002-7508
Fax (618) 466-5501
Other practice locations
- 1999 Old Jamestown Rd, Florissant, MO 63033-6303 · (314) 581-7735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) Primary | 343900000X | None listed |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
About NPI 1609439272
Otis D. Lyles Jr.'s National Provider Identifier is 1609439272, issued on Apr 18, 2019. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Alton, IL. The record was last updated on Apr 18, 2019.