Lyon, Jessica Rae

Lyon, Jessica Rae is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lyon, Jessica Rae can be contacted via phone (414) 266-6800.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 266-6800
Fax: (414) 337-7068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301511319 Michigan
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 75102 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75102 Wisconsin

Profile Details

NPI number 1205333077
LBN Legal business name Lyon, Jessica Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Mar 27th, 2024 - about 9 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205333077 NPPES
Wisconsin MEDICAID 1205333077

Popular Providers