Individual
RENEE ANNE LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., O.T.R.
Contact information
Practice address
11611 PINE LAKE RD, PLAINWELL, MI 49080-9225
(269) 664-9206
(269) 664-9295
Mailing address
11611 PINE LAKE RD, PLAINWELL, MI 49080-9225
(269) 664-9206
(269) 664-9295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002789
NBCOT
—
01
—
5201007138
STATE OF MICHIGAN - DEBARTMENT OF COMMUNITY HEALTH - REGISTRATION
MI
Enumeration date
08/22/2008
Last updated
08/22/2008
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