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

Lyle David Willock, RNFA, PA, ROPA-C

Individual provider Clinical Nurse Specialist · NPI 1972619690

Lyle David Willock, RNFA, PA, ROPA-C is a Clinical Nurse Specialist in Eden Prairie, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

775 Prairie Center Dr Ste 250
Eden Prairie, MN 55344-7314
Phone: (952) 944-2519
Fax: (952) 944-0460
Show map & directions

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

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence R0773991 (MN)

Record details

NPI number1972619690
Entity typeIndividual (Type 1)
GenderMale
Credentials RNFA , PA , ROPA-C
Sole proprietorYes
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 11, 2007