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Mr. Charles Nathaniel Lyles, LSWAIC
Student in an Organized Health Care Education/Training Program in Renton, Washington
NPI 1104555150

Charles Nathaniel Lyles is a Student in an Organized Health Care Education/Training Program based in Renton, WA. Charles Nathaniel Lyles practices in Renton, WA and has the professional credentials of LSWAIC. The NPI Number for Charles Nathaniel Lyles is 1104555150 and holds a License No. 61265382 (Washington).

The current practice location address for Charles Nathaniel Lyles is 707 S Grady Way Ste 300, Renton, WA and can be reached out via phone at 888-998-6423.

Location: 707 S Grady Way Ste 300, Renton, WA, 98057-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104555150
Provider Name
Charles Nathaniel Lyles
Credential
LSWAIC
Provider Entity Type
Individual
Gender
Male
Address
707 S Grady Way Ste 300, Renton, WA, 98057-3245
Phone Number
888-998-6423
Fax Number
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 S Grady Way Ste 300
City
Renton
State
Washington
Zip
98057-3245
Phone Number
888-998-6423
Fax Number
person
Provider Business Mailing Address Details
Address
707 S Grady Way Ste 300
City
Renton
State
Washington
Zip
98057-3245
Phone Number
888-998-6423
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
61265382 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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