IndividualActive
Dawn Lyles
NPI 1609759646 · Community Health Registered Nurse · Saint Louis, MO
Provider details
- NPI number
- 1609759646
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 2019030844 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
11454 Fair Acres Rd
Saint Louis, MO 63136-6218
Phone: (314) 835-7203
Approximate (ZIP-level) locationGet directions
Mailing address
11454 Fair Acres Rd
Saint Louis, MO 63136-6218
Registry dates
- Enumerated
- 2025-07-28
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.