National Provider Identifier

Tyler Lyons

Tyler Lyons is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (518) 779-0529.

NPI 1053176768Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1053176768
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
February 21, 2024
Last Updated
February 21, 2024

Practice Location

  • 183 Grote St
  • Buffalo, NY 14207-2429

Phone: (518) 779-0529

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1053176768
Entity Type
Individual
Last Name
Lyons
First Name
Tyler
Mailing Street Address
183 Grote St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-2429
Mailing Country
US
Practice Street Address
183 Grote St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-2429
Practice Country
US
Practice Phone
(518) 779-0529
Enumeration Date
February 21, 2024
Last Updated
February 21, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
February 21, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)