Individual
DR. VALERIE B. LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 W RIVER WOODS PKWY, SUITE 116, GLENDALE, WI 53212-1080
(414) 326-1563
(414) 326-1589
Mailing address
788 N. JEFFERSON STREET, SUITE 300 / ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3710
(414) 272-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
40772
WI
207NP0225X
Pediatric Dermatology Physician
Primary
40772
WI
207NS0135X
Procedural Dermatology Physician
40772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215980941
—
WI
Enumeration date
05/17/2006
Last updated
11/09/2016
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