Gwendolyn Lyles, PA-C
Gwendolyn Lyles, PA-C is a Physician Assistant in Konawa, Oklahoma. Qualified in 2024, 2 years ago. Practices with Central Oklahoma Family Medical Center Inc, a 57-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
527 W 3rd StKonawa, OK 74849-1415
Phone: (580) 925-3286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1225875107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 9, 2024 |
| Last updated in NPPES | January 21, 2025 |
| Certification date | January 21, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Central Oklahoma Family Medical Center Inc — 57 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Konawa
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William A McCullough, PA-C, MCMSC
527 W 3rd St, Konawa, OK 74849-1415 · (580) 925-3286
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Tina Marie Wainwright, PA-C
527 W 3rd St, Konawa, OK 74849-1415 · (580) 925-3286