Provider Demographics
NPI:1760845648
Name:LYONS, ALEXIS B (MD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:B
Last Name:LYONS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:25500 MEADOWBROOK RD STE 180
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1882
Practice Address - Country:US
Practice Address - Phone:248-940-1927
Practice Address - Fax:248-940-1928
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
MI4301508339207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology