NPI 1003273699
Brady Lyles
Practice location
- Address
- 1000 Potomac St NW STE 106, Washington, DC 20007-3599
- Phone
- (301) 885-7746
- Mailing address
- 414 Mohican Dr, Frederick, MD 21701
Registered specialties (2)
Athletic Trainer
Primary
Athletic Trainer
Registry record
- NPI
- 1003273699
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jan 2016
- Record last updated
- 5 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.