Provider Demographics
NPI:1043390362
Name:NAJITA, LYLE (LAC, CMT)
Entity Type:Individual
Prefix:
First Name:LYLE
Middle Name:
Last Name:NAJITA
Suffix:
Gender:M
Credentials:LAC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 CANTRILL DR STE D
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-7756
Mailing Address - Country:US
Mailing Address - Phone:530-220-2689
Mailing Address - Fax:
Practice Address - Street 1:638 CANTRILL DR
Practice Address - Street 2:SUITE D
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-7756
Practice Address - Country:US
Practice Address - Phone:530-220-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9201171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist