| Doctor Name: | MR. DANIEL MICHAEL LYONS |
| NPI Number: | 1063765543 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3010 Wilson Ave Sw Grandville, MI - 494181242 |
| Business Phone Number: | 6162498141 |
| Business Fax Number: | 6162498147 |
| Mailing Address: | 3010 Wilson Ave Sw, GRANDVILLE |
| State: | MI |
| Postal Code: | 494181242 |
| Phone Number: | 6162498141 |
| Fax Number: | 6162498147 |
| NPI Enumeration Date: | 10/20/2012 |
| NPI Last Update Date: | 10/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |