Lyle Prairie MD

NPI 1093759318 - Anesthesiology - 207L00000X

NPI Details
NPI 1093759318
Gender Male
Enumeration Date 06/16/2006
Last Updated 01/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1425 PORTLAND AVE
ROCHESTER GENERAL HOSPITAL
ROCHESTER NY, 14621-3001, US
Phone (585) 922-4159
Fax (585) 922-3731
Business Location
130 ALLENS CREEK RD
ROCHESTER NY, 14618-3305, US
Phone (585) 410-6545
Fax (585) 410-6560
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 206263-1
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According to our database, Lyle Prairie MD NPI is 1093759318, taxonomy code is 207L00000X and license number is 206263-1, license state is located at New York. Lyle Prairie MD physically located at 1425 Portland Ave, Rochester NY, 14621-3001. NPI Number Lyle Prairie MD has the Individual type.

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1093759318 NPI number is provided on an as is basis without warranty of any kind. 1093759318 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle Prairie MD are for informational purposes only.