Provider Demographics
NPI:1467691089
Name:LYLE, SUZANNE
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:LYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 AUAHI ST STE A6
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5166
Mailing Address - Country:US
Mailing Address - Phone:808-523-8188
Mailing Address - Fax:808-523-1687
Practice Address - Street 1:670 AUAHI ST STE A6
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5166
Practice Address - Country:US
Practice Address - Phone:808-523-8188
Practice Address - Fax:808-523-1687
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor