Provider Demographics
NPI:1821124355
Name:LYLES, DIANNE RHONDA (RNNP)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:RHONDA
Last Name:LYLES
Suffix:
Gender:F
Credentials:RNNP
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Mailing Address - Street 1:3453 BIRDSALL AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2620
Mailing Address - Country:US
Mailing Address - Phone:510-533-5430
Mailing Address - Fax:510-533-4662
Practice Address - Street 1:6955 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2409
Practice Address - Country:US
Practice Address - Phone:510-567-5728
Practice Address - Fax:510-567-5735
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA227089363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health