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NPI Code Detail

MEDICARE: DR. LYLE AARON HERMAN DMD

MEDICARE:  DR. LYLE AARON HERMAN  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN19951FL

General Provider Information

NPI Number : 1538418488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYLE AARON HERMAN DMD
Provider Business Mailing Address
First Line : 5747 GELDING CT
Second Line :
City : LAKE WORTH
State : FL
Zip : 33449-5416
Country : US
Telephone Number : 561-573-6704
Fax Number :
Provider Business Practice Location Address
First Line : 5747 GELDING CT
Second Line :
City : LAKE WORTH
State : FL
Zip : 33449-5416
Country : US
Telephone Number : 561-573-6704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2012
Last Update Date : 07/14/2015

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Directions to “ DR. LYLE AARON HERMAN DMD” Practice Location

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