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Individual

DR. JENNIFER MARIE LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
647 E EIGHTH ST, TRAVERSE CITY, MI 49686-2630
(231) 900-0400
(855) 586-8399
Mailing address
647 E EIGHTH ST, TRAVERSE CITY, MI 49686-2630
(231) 922-0400
(231) 922-3063

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016018
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
5101016018
MI

Other

Enumeration date
04/17/2007
Last updated
02/15/2024
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