Lyon, Glee

Lyon, Glee is an sole proprietor health care provider with primary practice located at 1919 70Th Ave W Ste D1 , University Place WA 98466-5541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lyon, Glee can be contacted via phone (253) 565-7596.

Contact Information

Primary practice address
1919 70Th Ave W Ste D1 University Place WA 98466-5541
Phone: (253) 565-7596
Fax: (253) 999-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30001324 Washington

Profile Details

NPI number 1184621831
LBN Legal business name Lyon, Glee
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Apr 26th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184621831 NPPES
Washington Other 500015230 RAILROAD MEDICARE
Washington MEDICAID 9605072 RAILROAD MEDICARE

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