Individual
MICHAEL JAMES LYRENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPA-C, RNFA
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
R0831237
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55A74LY
BLUECROSS BLUESHIELD
—
01
—
969991007207
PREFERREDONE
—
01
—
HP47971
HEALTHPARTNERS
—
Enumeration date
08/30/2006
Last updated
01/15/2009
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