| Doctor Name: | MS. SUSAN LOUISE LYONS |
| NPI Number: | 1114290343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4704190177 |
| Business Practice Address: | 785 N Lapeer Rd Suite 100 Lake Orion, MI - 483624012 |
| Business Phone Number: | 2486934271 |
| Business Fax Number: | |
| Mailing Address: | 2965 Wallsend Dr, WATERFORD |
| State: | MI |
| Postal Code: | 483293363 |
| Phone Number: | 2488605165 |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2012 |
| NPI Last Update Date: | 02/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704190177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |