Lyon, Will Davis

Lyon, Will Davis is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Lyon, Will Davis can be contacted via phone (414) 805-6850.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-6850
Fax: (414) 805-6864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 75614 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 75614 Wisconsin

Profile Details

NPI number 1245791607
LBN Legal business name Lyon, Will Davis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2019
Last updated Sep 11th, 2023 - about 2 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 1245791607 NPPES
Wisconsin MEDICAID 1245791607

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