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Mr. Lyle Everett Board, ATC,CSCS
Respiratory/Developmental/Rehabilitative Specialist/Technologist in Baton Rouge, Louisiana
NPI 1962440404

Lyle Everett Board is a Respiratory/Developmental/Rehabilitative Specialist/Technologist based in Baton Rouge, LA. Lyle Everett Board practices in Baton Rouge, LA and has the professional credentials of ATC,CSCS. The NPI Number for Lyle Everett Board is 1962440404 and holds a License No. J00203 (Louisiana).

The current practice location address for Lyle Everett Board is 8080 Bluebonnet Blvd, Baton Rouge, LA and can be reached out via phone at 225-408-7990 and via fax at 225-408-7989.

Location: 8080 Bluebonnet Blvd, Baton Rouge, LA, 70810-7827
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Provider Profile Details
NPI Number
1962440404
Provider Name
Lyle Everett Board
Credential
ATC,CSCS
Provider Entity Type
Individual
Gender
Male
Address
8080 Bluebonnet Blvd, Baton Rouge, LA, 70810-7827
Phone Number
225-408-7990
Fax Number
225-408-7989
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J00203 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
8080 Bluebonnet Blvd
City
State
Zip
70810-7827
Phone Number
225-408-7990
Fax Number
225-408-7989
person
Provider Business Mailing Address Details
Address
8080 Bluebonnet Blvd
City
State
Zip
70810-7827
Phone Number
225-408-7990
Fax Number
225-408-7989
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
License No.
J00203 (Louisiana)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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