| Lyla Health Inc | |
|
8 The Grn Ste A Dover DE 19901-3618 | |
| (213) 328-2490 | |
| (206) 260-4122 |
| Full Name | Lyla Health Inc |
|---|---|
| Speciality | General Practice |
| Location | 8 The Grn Ste A, Dover, Delaware |
| Authorized Official Name and Position | Saamir Mohamed (CEO) |
| Authorized Official Contact | 2133282490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyla Health Inc 1601 5th Ave Seattle WA 98101-3621 Ph: (213) 328-2490 | Lyla Health Inc 8 The Grn Ste A Dover DE 19901-3618 Ph: (213) 328-2490 |
| NPI Number | 1780417030 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 06/02/2025 |
| Medicare PECOS PAC ID | 5496281149 |
|---|---|
| Medicare Enrollment ID | O20241205001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780417030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Dina Marie Whiteaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841490 PECOS PAC ID: 5294953576 Enrollment ID: I20211111002499 |
| Provider Name | Hollie Lynn Gaeto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114310687 PECOS PAC ID: 4284931718 Enrollment ID: I20220829001005 |
| Provider Name | Latonya R Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861701740 PECOS PAC ID: 8426431651 Enrollment ID: I20230713000906 |
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