Lyford, Lucetta Lynne

Lyford, Lucetta Lynne is an individual health care provider with primary practice located at 430 W. Centre Ave. , Portage MI 49024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lyford, Lucetta Lynne can be contacted via phone (269) 321-6673.

Contact Information

Primary practice address
430 W. Centre Ave. Portage MI 49024
Phone: (269) 321-6673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003467 Michigan

Profile Details

NPI number 1396749800
LBN Legal business name Lyford, Lucetta Lynne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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