| Mrs Jody B Lyle, CRNA | |
|
5424 Discovery Park Boulevard, Bldg. A, Suite 101, Williamsburg, VA 23188 | |
| (757) 707-3505 | |
| (757) 707-3506 |
| Full Name | Mrs Jody B Lyle |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5424 Discovery Park Boulevard, Williamsburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265764310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024168627 (Virginia) | Primary |
| Entity Name | Commonwealth Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548275308 PECOS PAC ID: 7214840453 Enrollment ID: O20031112000526 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jody B Lyle, CRNA 860 Omni Blvd Ste 303, Newport News, VA 23606-4477 Ph: (757) 232-8769 | Mrs Jody B Lyle, CRNA 5424 Discovery Park Boulevard, Bldg. A, Suite 101, Williamsburg, VA 23188 Ph: (757) 707-3505 |
Louis George Patnode, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 Kings Way, Stuite 1500, Williamsburg, VA 23185 Phone: 703-674-9041 | |
Alexis Asprah, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Sentara Cir, Williamsburg, VA 23188 Phone: 757-984-6000 | |
Alison Lagow, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Sentara Cir, Williamsburg, VA 23188 Phone: 757-984-6000 |