Individual
MS. SUSAN LOUISE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
785 N LAPEER RD, SUITE 100, LAKE ORION, MI 48362-4012
(248) 693-4271
Mailing address
2965 WALLSEND DR, WATERFORD, MI 48329-3363
(248) 860-5165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190177
MI
Other
Enumeration date
02/19/2012
Last updated
02/19/2012
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