JESSICA RAE LYON

YPSILANTI, MI
NPI1205333077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  4301511319)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: WI  75102)
208000000X Pediatrics
(Licence: WI  75102)
Enumeration Date2018-04-09
Last Update Date2024-10-07
Business Address
JESSICA RAE LYON
5301 MCAULEY DR
YPSILANTI, MI 48197-1051
Phone number: 877-336-6307
Mailing Address
JESSICA RAE LYON
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-6800