Branden Lyon is a Clinical in Grand Rapids, Michigan. Branden Lyon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Branden Lyon is 1114148046. The last update date is 2010-07-20.
Branden Lyon's current location address is 3351 Eagle Run Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163658920 and fax number 6163658971. The mailing address for Branden Lyon is 3351 Eagle Run Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Branden Lyon |
|---|---|
| Address | 3351 Eagle Run Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6163658920 |
| Fax Number | 6163658971 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1114148046 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2010-07-20 |
Provider Mailing Address Detail
| Address | 3351 Eagle Run Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495257070 |
| Phone Number | 6163658920 |
| Fax Number | 6163658971 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L1329889 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Branden Lyon by the Centers for Medicare & Medicaid Services?
The Branden Lyon has been issued the NPI (National Provider Identifier) 1114148046, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Branden Lyon is physically located?
The Branden Lyon is physically situated at the following address: 3351 Eagle Run Dr Ne, Grand Rapids, MI, 495257070.
What is the area of specialization for Branden Lyon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Branden Lyon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114148046 to Branden Lyon?
The Centers for Medicare & Medicaid Services assigned the 1114148046 to Branden Lyon on 2007-05-01.
When was the information related to Branden Lyon most recently updated or refreshed?
The details pertaining to the Branden Lyon, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-20.