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General NPI Number Information
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NPI Number | 1922758416
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Entity Type | Individual
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Provider Name | KATHERINE LYONS DPM
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Gender | Female
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 36475 FIVE MILE RD
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City | LIVONIA
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State | MI
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Zip | 48154-1971
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Country | US
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Telephone | 734-655-4800
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Fax | 734-655-2911
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Provider Business Mailing Address
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Address Line | 600 PARK AVE STE 3
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City | GRAND HAVEN
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State | MI
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Zip | 49417-2173
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Country | US
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Telephone | 616-846-3400
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Fax | 616-846-3406
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901400578
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License Number State | MI
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