Provider Demographics
NPI:1821507658
Name:SWANER, LYA MICHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:LYA
Middle Name:MICHELLE
Last Name:SWANER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:501 AIR PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-3000
Mailing Address - Country:US
Mailing Address - Phone:903-408-1100
Mailing Address - Fax:903-408-1129
Practice Address - Street 1:810 E RALPH HALL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6879
Practice Address - Country:US
Practice Address - Phone:469-402-3400
Practice Address - Fax:469-533-9955
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2024-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA11650363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant