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LYLE DAVID WILLOCK RNFA, PA, ROPA-C
NPI 1972619690
Clinical Nurse Specialist in Eden Prairie, MN

Active since August 23, 2006
775 PRAIRIE CENTER DR, SUITE 250, EDEN PRAIRIE, MN 55344(952) 944-2519(952) 944-0460 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lyle David Willock Rnfa, Pa, Ropa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYLE DAVID WILLOCK RNFA, PA, ROPA-C (NPI 1972619690) is an individual clinical nurse specialist in Eden Prairie, Minnesota, licensed in Minnesota (R0773991) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972619690
Entity TypeIndividualMale
Primary Taxonomy364S00000X
Provider Legal NameLYLE DAVID WILLOCKCredential: RNFA, PA, ROPA-C
Location Address775 PRAIRIE CENTER DR, SUITE 250Eden Prairie, MN 55344-7314
Mailing Address6465 Wayzata Blvd, Suite 900St Louis Park, MN 55426-1728 · (952) 512-5600 · Fax (952) 512-5650
Phone(952) 944-2519
Fax(952) 944-0460
Sole ProprietorYes
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 11, 2007
✔ NPI 1972619690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in MN · R0773991
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
775 PRAIRIE CENTER DR, Eden Prairie, MN 55344
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Other Identifiers 3

Other73B62WIBluecross Blueshield
Other969991011727Preferredone
OtherHP43945Healthpartners

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID FLOYD WINECOFF PA
Physician Assistant
775 PRAIRIE CENTER DR, SUITE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-2519
CALEB MATL
Specialist/Technologist (Athletic Trainer)
775 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 428-5700
JAMES HERMAN RAKOW AT
Specialist/Technologist (Athletic Trainer)
775 PRAIRIE CENTER DR, SUITE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-2519
RYAN D KOEPP PT
Physical Therapist
775 PRAIRIE CENTER DR, #250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-5314
MR. TYLER HANSON ATC
Specialist/Technologist (Athletic Trainer)
775 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-5314
LAURIE JEAN WHITBECK LPN, OPA-C
Clinical Nurse Specialist (Medical-Surgical)
775 PRAIRIE CENTER DR, SUITE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-2519
TERESA CASPAR PT
Physical Therapist
775 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-5314
MICHELLE ZENZ ATC
Specialist/Technologist (Athletic Trainer)
775 PRAIRIE CENTER DR, SUITE 250
EDEN PRAIRIE, MN 55344
Hennepin County (952) 944-5314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyle Willock's NPI number?

The NPI number for Lyle Willock is 1972619690. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Lyle Willock located?

Lyle Willock practices at 775 Prairie Center Dr Suite 250, Eden Prairie, MN 55344. The listed phone number is (952) 944-2519.

What is Lyle Willock's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Lyle Willock was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.