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Mr. Lyndon Tyrone Willis I
Student in an Organized Health Care Education/Training Program in Elyria, Ohio
NPI 1891263489

Lyndon Tyrone Willis I is a Student in an Organized Health Care Education/Training Program based in Garfield Hts, OH. Lyndon Tyrone Willis I practices in Elyria, OH. The NPI Number for Lyndon Tyrone Willis I is 1891263489 and holds a License No. (Ohio).

The current practice location address for Lyndon Tyrone Willis I is 347 Midway Blvd Ste 210, Elyria, OH and can be reached out via phone at 440-324-5555 and via fax at 440-324-5512. You can also correspond with Lyndon Tyrone Willis I through the mailing address at 9206 PLYMOUTH AVE, GARFIELD HTS, OH - 44125-2361 (mailing address contact number: 216-323-9262).

Location: 347 Midway Blvd Ste 210, Elyria, OH, 44125-2361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891263489
Provider Name
Lyndon Tyrone Willis I
Credential
Provider Entity Type
Individual
Gender
Male
Address
347 Midway Blvd Ste 210, Elyria, OH, 44125-2361
Phone Number
440-324-5555
Fax Number
440-324-5512
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
347 Midway Blvd Ste 210
City
Elyria
State
Ohio
Zip
44035-2496
Phone Number
440-324-5555
Fax Number
440-324-5512
person
Provider Business Mailing Address Details
Address
347 Midway Blvd Ste 210
City
Elyria
State
Ohio
Zip
44035-2496
Phone Number
440-324-5555
Fax Number
440-324-5512
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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