Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otis D Lyles Jr.

Individual provider Non-emergency Medical Transport (VAN) · NPI 1609439272

Otis D Lyles Jr. is a Non-emergency Medical Transport (VAN) in Alton, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2019

Practice location Address checks out

305 Lynn Dr
Alton, IL 62002-7508
Phone: (314) 581-7735
Fax: (618) 466-5501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1999 Old Jamestown Rd, Florissant, MO 63033-6303 — (314) 581-7735

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X (MO)

Record details

NPI number1609439272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESApril 18, 2019