Provider Demographics
NPI:1194983999
Name:LYLE, MICHELLE L (RPH)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:L
Last Name:LYLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3118
Mailing Address - Country:US
Mailing Address - Phone:412-761-1890
Mailing Address - Fax:412-766-7494
Practice Address - Street 1:535 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:PA
Practice Address - Zip Code:15202-3548
Practice Address - Country:US
Practice Address - Phone:412-761-1890
Practice Address - Fax:412-766-7494
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037528L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist