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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184621831 | NPPES |
| Washington | Other | 500015230 | RAILROAD MEDICARE |
| Washington | MEDICAID | 9605072 | RAILROAD MEDICARE |
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