MS. LUCETTA LYFORD, PA-C
Physician Assistant
Active
Individual
NPI: 1396749800
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601003467 (MI) |
Frequently Asked Questions
NPI 1396749800 is the National Provider Identifier for MS. LUCETTA LYFORD, PA-C, a Physician Assistant provider located in Portage, MI. This NPI was enumerated on June 13, 2005.
MS. LUCETTA LYFORD, PA-C practices at 430 W. CENTRE AVE., Portage, MI 49024.
Quick Facts
- NPI
- 1396749800
- Type
- Individual
- Enumerated
- Jun 13, 2005
- Last Updated
- Aug 7, 2007
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