Individual provider · Type 1 NPI

Lyle D. Pahnke Jr., MD

Vascular Surgery Physician · Centralia, IL

NPI number 1770538225 Active

Practice location

400 N Pleasant Ave
Centralia, IL 62801-3056

Call (618) 436-6318 Map

Fax (618) 436-6386

Other practice locations

  • 302 Broadway St, Mount Vernon, IL 62864-5116 · (618) 242-4750

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X036089773 (IL)
Surgery Physician 208600000X036089773 (IL)
Vascular Surgery Physician Primary 2086S0129X036089773 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

31 other providers at this address

About NPI 1770538225

Lyle D. Pahnke Jr., MD's National Provider Identifier is 1770538225, issued on May 23, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Centralia, IL. The record was last updated on Apr 15, 2022.