Basic Information
| Provider Information | |||||||||
| NPI: | 1669862868 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LYONS | ||||||||
| FirstName: | JAMI | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | DNP, APNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10701 W RESEARCH DR | ||||||||
| Address2: | |||||||||
| City: | WAUWATOSA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532263452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083861358 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 CASHMAN DR | ||||||||
| Address2: | |||||||||
| City: | CHIPPEWA FALLS | ||||||||
| State: | WI | ||||||||
| PostalCode: | 547293543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7158611058 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2015 | ||||||||
| LastUpdateDate: | 10/02/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 6205-33 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.