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
Mailing address305 Lynn Dr, Alton, IL 62002-7508