Individual provider · Type 1 NPI

Lawrence R. Tyler, PA-C

Surgical Physician Assistant · Kalamazoo, MI

NPI number 1447299789 Active

Practice location

1815 Henson Ave
Kalamazoo, MI 49048-1510

Call (269) 492-6500 Map

Fax (269) 492-6461

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Other practice locations

  • 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 · (239) 343-9800

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9108308 (FL)
Surgical Physician Assistant 363AS0400X50-00-0236 (OH)
Surgical Physician Assistant Primary 363AS0400X5601007215 (MI)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1447299789

Lawrence R. Tyler, PA-C's National Provider Identifier is 1447299789, issued on Jun 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kalamazoo, MI. The record was last updated on Mar 30, 2020.