Provider Demographics
NPI:1891093654
Name:LYONS TOWNSHIP
Entity Type:Organization
Organization Name:LYONS TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CLERK/ BILLING
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-593-2773
Mailing Address - Street 1:104 PRAIRIE ST
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:MI
Mailing Address - Zip Code:48851
Mailing Address - Country:US
Mailing Address - Phone:989-855-2016
Mailing Address - Fax:989-855-2840
Practice Address - Street 1:104 PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:MI
Practice Address - Zip Code:48851
Practice Address - Country:US
Practice Address - Phone:989-855-2016
Practice Address - Fax:989-855-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty