Matthew A Lyles, AA Valid NPI

Individual provider · Anesthesiologist Assistant · Summit, WI

NPI

1730634817

Type

Individual (Type 1)

Primary specialty

Anesthesiologist Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367H00000X

License number

102 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2016-08-18

Last updated

2025-03-26