National Provider Identifier Database

SHANTWANA S LYLES
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

SHANTWANA S LYLES
2807 FOREST HOLLOW LN APT 3313
ARLINGTON, TX76006-3020
Phone: 909-485-2273
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for SHANTWANA S LYLES

NPI Number 1770073231
Credentials
Entity Individual
Enumeration date 05/10/2018
Last updated 05/10/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: KK546154
Hospital affiliation n/a

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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