JACOB LYON

GRAND RAPIDS, MI
NPI1386492080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MI  5151016567)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
JACOB LYON DO
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-456-0857
Mailing Address
JACOB LYON DO
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number:
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