Lyle D Pahnke JR. MD

  • 1770538225 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Lyle D Pahnke JR. MD is 1770538225 and actived since Tuesday, May 23 2006. Lyle D Pahnke JR. MD is an individual provider specializes in Surgery, primary practice location is 302 Broadway St, Mount Vernon, IL 62864. You can also contact Lyle D Pahnke JR. MD via telephone number is (618) 242-4750. Provider NPI information was last updated on 11/29/2017.

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Overview of Lyle D Pahnke JR. MD

  • NPI number: 1679125157
  • Provider type: Individual
  • Specialty: Surgery
  • Gender: Male
  • Active since: 05/23/2006
  • Last updated: 11/29/2017

Primary Scrop of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: 036089773
  • License State: IL

Provider Mailing Address

  • Address: 302 Broadway St
    Mount Vernon, IL 62864
  • Phone: 618-242-4750
  • Fax: 618-242-7674

Provider Practice Location

  • Address: 302 Broadway St
    Mount Vernon, IL 62864
  • Phone: 618-242-4750
  • Fax: 618-242-7674

Scope of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: 036089773
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 036089773
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Lyle D Pahnke JR. MD?
  • A: The npi number for Lyle D Pahnke JR. MD is 1770538225.
  • Q: What are Lyle D Pahnke JR. MD's specialties?
  • A: Lyle D Pahnke JR. MD's specialties are Surgery and different specialities.
  • Q: What is the medical license for Lyle D Pahnke JR. MD?
  • A: The medical license number for Lyle D Pahnke JR. MD is 036089773 and issued in IL in USA.
  • Q: Where is Lyle D Pahnke JR. MD practice location?
  • A: Lyle D Pahnke JR. MD is practicing at 302 Broadway St, Mount Vernon, IL 62864.
  • Q: How to contact Lyle D Pahnke JR. MD?
  • A: You can contact Lyle D Pahnke JR. MD via 618-242-4750.