Lyon, Valerie B.

Lyon, Valerie B. is an individual health care provider with primary practice located at 375 W River Woods Pkwy Suite 116, Glendale WI 53212-1080. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Lyon, Valerie B. can be contacted via phone (414) 326-1563.

Contact Information

Primary practice address
375 W River Woods Pkwy Suite 116 Glendale WI 53212-1080
Phone: (414) 326-1563
Fax: (414) 326-1589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 40772 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 40772 Wisconsin
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 40772 Wisconsin

Profile Details

NPI number 1215980941
LBN Legal business name Lyon, Valerie B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 9th, 2016 - about 8 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 1215980941 NPPES
Wisconsin MEDICAID 1215980941

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