Provider Demographics
NPI:1265194963
Name:LYLE, HANNAH ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:LYLE
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9059 W LAKE PLEASANT PKWY STE E540
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8396
Mailing Address - Country:US
Mailing Address - Phone:623-322-3380
Mailing Address - Fax:
Practice Address - Street 1:9059 W LAKE PLEASANT PKWY STE E540
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8396
Practice Address - Country:US
Practice Address - Phone:623-322-3380
Practice Address - Fax:623-322-4399
Is Sole Proprietor?:No
Enumeration Date:2021-10-10
Last Update Date:2023-03-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical