LUCETTA LYNNE LYFORD

PORTAGE, MI
NPI1396749800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003467)
Enumeration Date2005-06-13
Last Update Date2007-08-07
Business Address
Ms. LUCETTA LYNNE LYFORD PA-C
430 W. CENTRE AVE.
PORTAGE, MI 49024
Phone number: 269-321-6673
Mailing Address
Ms. LUCETTA LYNNE LYFORD PA-C
430 W. CENTRE AVE.
PORTAGE, MI 49024
Phone number: 269-321-6673