Lucetta Lynne Lyford in Portage - Physician Assistant
Lucetta Lynne Lyford - NPI 1396749800
Lucetta Lynne Lyford is a Physician Assistant in Portage, Michigan. Lucetta Lynne Lyford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lucetta Lynne Lyford is 1396749800. The last update date is 2007-08-07.
Lucetta Lynne Lyford's current location address is 430 W. Centre Ave., Portage, Michigan. You can contact this provider via phone number 2693216673. The mailing address for Lucetta Lynne Lyford is 430 W. Centre Ave., Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucetta Lynne Lyford |
|---|---|
| Address | 430 W. Centre Ave., Portage, Michigan |
| Phone Number | 2693216673 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396749800 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2007-08-07 |
Provider Mailing Address Detail
| Address | 430 W. Centre Ave. |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490240 |
| Phone Number | 2693216673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003467 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Lucetta Lynne Lyford by the Centers for Medicare & Medicaid Services?
The Lucetta Lynne Lyford has been assigned the NPI (National Provider Identifier) 1396749800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Lucetta Lynne Lyford's facilities are geographically located?
The facilities of Lucetta Lynne Lyford are physically situated at the following location: 430 W. Centre Ave., Portage, MI, 490240.
What is Lucetta Lynne Lyford's area of expertise and its corresponding taxonomy classification?
The Lucetta Lynne Lyford's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did the Lucetta Lynne Lyford receive its 1396749800?
The Lucetta Lynne Lyford was issued its 1396749800 on 2005-06-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lucetta Lynne Lyford most recently updated or revised?
The information pertaining to Lucetta Lynne Lyford, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-07.