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Mr. Paul Vincent Lyons
Peer Specialist in Waterford, Michigan
NPI 1174290290

Paul Vincent Lyons is a Peer Specialist based in Sylvan Lake, MI. Paul Vincent Lyons practices in Waterford, MI. The NPI Number for Paul Vincent Lyons is 1174290290 and holds a License No. (Michigan).

The current practice location address for Paul Vincent Lyons is 279 Summit Dr, Waterford, MI and can be reached out via phone at 248-745-4900.

Location: 279 Summit Dr, Waterford, MI, 48320-1468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174290290
Provider Name
Paul Vincent Lyons
Credential
Provider Entity Type
Individual
Gender
Male
Address
279 Summit Dr, Waterford, MI, 48320-1468
Phone Number
248-745-4900
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
248-745-4900
Fax Number
person
Provider Business Mailing Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
248-745-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Michigan)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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