Individual
MELANIE A LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
330 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
Mailing address
330 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704259710
MI
Other
Enumeration date
01/04/2022
Last updated
02/18/2022
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