Lyle Everett Board, ATC, CSCS Valid NPI
Individual provider · Respiratory/Developmental/Rehabilitative Specialist/Technologist · Baton Rouge, LA
- NPI
- 1962440404
- Type
- Individual (Type 1)
- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225500000X
- License number
- J00203 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-04
- Last updated
- 2007-07-08
Practice location
8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
(225) 408-7990