Bradley S Lyons in Green Bay - Nurse Anesthetist, Certified Registered
Bradley S Lyons - NPI 1821000571
Bradley S Lyons is a Nurse Anesthetist, Certified Registered in Green Bay, Wisconsin. Bradley S Lyons practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Bradley S Lyons is 1821000571. The last update date is 2021-12-22.
Bradley S Lyons's current location address is 835 S Van Buren St, Green Bay, Wisconsin. You can contact this provider via phone number 9204330111. The mailing address for Bradley S Lyons is 835 S Van Buren St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley S Lyons |
|---|---|
| Address | 835 S Van Buren St, Green Bay, Wisconsin |
| Phone Number | 9204330111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1821000571 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 835 S Van Buren St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013526 |
| Phone Number | 9204330111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 147956 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44331200 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bradley S Lyons by the Centers for Medicare & Medicaid Services?
The Bradley S Lyons has been issued the NPI (National Provider Identifier) 1821000571. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bradley S Lyons is physically located?
The Bradley S Lyons is situated at the following address: 835 S Van Buren St, Green Bay, WI 543013526.
What is the Bradley S Lyons's area of specialization and corresponding taxonomy classification?
The Bradley S Lyons's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1821000571 to Bradley S Lyons?
The Centers for Medicare & Medicaid Services assigned the 1821000571 to Bradley S Lyons on 2006-08-12.
When was the information regarding Bradley S Lyons most recently updated?
The details pertaining to the Bradley S Lyons, including its address, specialty, and other relevant information, were last refreshed on 2021-12-22.