Provider Demographics
NPI:1649441957
Name:LYONS TRANSPORT INC.
Entity type:Organization
Organization Name:LYONS TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:VANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:877-566-3383
Mailing Address - Street 1:29532 SOUTHFIELD RD
Mailing Address - Street 2:101
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2023
Mailing Address - Country:US
Mailing Address - Phone:248-559-5591
Mailing Address - Fax:
Practice Address - Street 1:29532 SOUTHFIELD RD
Practice Address - Street 2:101
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2023
Practice Address - Country:US
Practice Address - Phone:248-559-5591
Practice Address - Fax:248-559-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)