person
Otis D Lyles JR.
Non-emergency Medical Transport (VAN) in Alton, Illinois
NPI 1609439272

Otis D Lyles JR. is a Non-emergency Medical Transport (VAN) based in Alton, IL. Otis D Lyles JR. practices in Alton, IL. The NPI Number for Otis D Lyles JR. is 1609439272 and holds a License No. (Illinois).

The current practice location address for Otis D Lyles JR. is 305 Lynn Dr, Alton, IL and can be reached out via phone at 314-581-7735 and via fax at 618-466-5501. You can also correspond with Otis D Lyles JR. through the mailing address at 305 LYNN DR, ALTON, IL - 62002-7508 (mailing address contact number: 314-581-7735).

Location: 305 Lynn Dr, Alton, IL, 62002-7508
person
Provider Profile Details
NPI Number
1609439272
Provider Name
Otis D Lyles JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
305 Lynn Dr, Alton, IL, 62002-7508
Phone Number
314-581-7735
Fax Number
618-466-5501
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Lynn Dr
City
State
Zip
62002-7508
Phone Number
314-581-7735
Fax Number
618-466-5501
person
Provider Business Mailing Address Details
Address
305 Lynn Dr
City
State
Zip
62002-7508
Phone Number
314-581-7735
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
(Missouri)
Definition
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.
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