Dr. Lyle Gene Henry
Surgeon Vascular Surgeon
2350 N Lake Dr Suite 304
Milwaukee
, Wisconsin 53211-4528
Dr. Lyle Gene Henry
Surgeon Vascular Surgeon
2350 N Lake Dr Suite 304
Milwaukee
, Wisconsin 53211-4528
(414) 272-0859
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lyle Gene Henry
- 788 N Jefferson St Suite 300/attn Kaaren Butzen
- Milwaukee, WI
- Zip : 53202-3718
- Fax : (414) 272-0859
- Phone : (414) 272-8950
Second Address
- Dr. Lyle Gene Henry
- 2350 N Lake Dr Suite 304
- Milwaukee, WI
- Zip : 53211-4528
- Fax : (414) 298-7229
- Phone : (414) 298-7220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 18454 | WI |
| Y | 208600000X | Surgeon | 18454 | WI |
| N | 2086S0129X | Vascular Surgeon | 18454 | WI |
National Provider Identifier
| NPI | 1043242035 |
|---|---|
| Provider Name | Dr. Lyle Gene Henry |
| First Address | Milwaukee, WI 53202-3718 |
| Second Address | Milwaukee, WI 53211-4528 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 25/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043242035 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.