Provider Demographics
NPI:1649668559
Name:HOLMES, LYAH (NP)
Entity type:Individual
Prefix:
First Name:LYAH
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2555 N MARTIN LUTHER KING DR
Mailing Address - Street 2:MILWAUKEE HEALTH SERVICES, INC.
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2709
Mailing Address - Country:US
Mailing Address - Phone:414-267-2840
Mailing Address - Fax:414-562-8084
Practice Address - Street 1:2555 N MARTIN LUTHER KING DR
Practice Address - Street 2:2555 N MARTIN LUTHER KING DR
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2709
Practice Address - Country:US
Practice Address - Phone:414-372-8080
Practice Address - Fax:414-562-8084
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2022-06-28
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Provider Licenses
StateLicense IDTaxonomies
WI6152-33363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology