Doctor Name: | MS. MONICA ANN LYONS |
NPI Number: | 1205989704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | ML4704177149 |
Business Practice Address: | 1445 Sheldon Rd Suite 201 Grand Haven, MI - 494172480 |
Business Phone Number: | 6168468540 |
Business Fax Number: | 6168465619 |
Mailing Address: | 100 Michigan St Ne, Mc 845 GRAND RAPIDS |
State: | MI |
Postal Code: | 495032560 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ML4704177149 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |