Tyler, Lawrence R

Tyler, Lawrence R is an individual health care provider with primary practice located at 1815 Henson Ave , Kalamazoo MI 49048-1510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Tyler, Lawrence R can be contacted via phone (269) 492-6500.

Contact Information

Primary practice address
1815 Henson Ave Kalamazoo MI 49048-1510
Phone: (269) 492-6500
Fax: (269) 492-6461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108308 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-00-0236 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601007215 Michigan

Profile Details

NPI number 1447299789
LBN Legal business name Tyler, Lawrence R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 30th, 2020 - about 5 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 1447299789 NPPES
Michigan MEDICAID 1447299789

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