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Contact Information

RENEE J LYLES, NP
1001 14TH ST
MERIDIAN, MS39301-4458
 Phone: 601-482-9224
 Fax: 601-482-9223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for RENEE J LYLES · (Female)

NPI # 1134113095
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/07/2005
Last updated 03/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R734185
  • MS Medicaid 00117020
Hospital affiliation(s)
  • ANDERSON REGIONAL MEDICAL CENTER - (Acute Care)
    2124 14 ST
    MERIDIAN, MS 39301
  • CHOCTAW GENERAL HOSPITAL - (Critical Access)
    401 VANITY FAIR LANE, PO BOX 618
    BUTLER, AL 36904
  • H C WATKINS MEMORIAL HOSPITAL INC - (Critical Access)
    605 SOUTH ARCHUSA AVENUE
    QUITMAN, MS 39355
  • RUSH FOUNDATION HOSPITAL - (Acute Care)
    1314 19TH AVE
    MERIDIAN, MS 39301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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