Lawrence R Tyler in Kalamazoo - Surgical

Lawrence R Tyler - NPI 1447299789

Lawrence R Tyler is a Surgical in Kalamazoo, Michigan. Lawrence R Tyler practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lawrence R Tyler is 1447299789. The last update date is 2020-03-30.

Lawrence R Tyler's current location address is 1815 Henson Ave, Kalamazoo, Michigan. You can contact this provider via phone number 2694926500 and fax number 2694926461. The mailing address for Lawrence R Tyler is 1815 Henson Ave, Kalamazoo, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence R Tyler
Address 1815 Henson Ave, Kalamazoo, Michigan
Phone Number 2694926500
Fax Number 2694926461
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1447299789
Provider Enumeration Date 2006-06-05
Last Updated Date 2020-03-30

Provider Mailing Address Detail

Address 1815 Henson Ave
City Kalamazoo
State Michigan (MI)
Post Code 490481510
Phone Number 2694926500
Fax Number 2694926461

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA9108308
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1447299789 MI --

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FAQs about Lawrence R Tyler

What is the unique 10-digit identification code assigned to Lawrence R Tyler by the Centers for Medicare & Medicaid Services?

The Lawrence R Tyler has been issued the NPI (National Provider Identifier) 1447299789, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lawrence R Tyler?

The Lawrence R Tyler is physically situated at 1815 Henson Ave, in the city of Kalamazoo, state of MI, with the postal code 490481510.

What is Lawrence R Tyler's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lawrence R Tyler's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447299789 to Lawrence R Tyler?

The Centers for Medicare & Medicaid Services originally issued the 1447299789 to Lawrence R Tyler on 2006-06-05.

When was the Lawrence R Tyler's information last updated?

The Lawrence R Tyler's information was last updated on 2020-03-30.

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