Lyon, Renee C

Lyon, Renee C is an individual health care provider with primary practice located at 4401 Bridgeport Way W , University Place WA 98466-4201. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lyon, Renee C can be contacted via phone (253) 564-4157.

Contact Information

Primary practice address
4401 Bridgeport Way W University Place WA 98466-4201
Phone: (253) 564-4157
Fax: (253) 564-4813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00157089 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007419 Washington

Profile Details

NPI number 1922190651
LBN Legal business name Lyon, Renee C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Sep 5th, 2014 - about 12 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 1922190651 NPPES
Washington MEDICAID 9650235
Washington Other 0213407
Washington Other 0222891
Washington Other 8943195
Washington Other 8945094

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