Individual
LYDIA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6789 ELM VALLEY DR, KALAMAZOO, MI 49009-7476
(269) 544-3200
Mailing address
8475 PARKSTONE TER, MATTAWAN, MI 49071-8555
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501302573
MI
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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