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NPI Code Detail

MEDICARE: JUANITA L LYLES MEDICAL ASSISTANT

MEDICARE:   JUANITA L LYLES  MEDICAL ASSISTANT
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
1374700000XTechnicianCM60368592WA

General Provider Information

NPI Number : 1992658017
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITA L LYLES MEDICAL ASSISTANT
Provider Business Mailing Address
First Line : 7700 RAINIER AVE S APT 420
Second Line :
City : SEATTLE
State : WA
Zip : 98118-4163
Country : US
Telephone Number : 206-795-4428
Fax Number :
Provider Business Practice Location Address
First Line : 317 S BENNETT ST
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2228
Country : US
Telephone Number : 206-971-8830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ JUANITA L LYLES MEDICAL ASSISTANT” Practice Location

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