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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LUCETTA LYNNE LYFORD, PA-C

Active

MS. LUCETTA LYNNE LYFORD, PA-C is a Physician Assistant healthcare provider located in PORTAGE, Michigan. NPI 1396749800 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORTAGE, MI

Registration Details

NPI Number
1396749800
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2005 (21.136410740324 yrs)
Last Updated
Aug 7, 2007
License
5601003467 (MI)

Practice Information

Address
430 W. CENTRE AVE.
PORTAGE, MI, 49024
Browse MI providers · Browse ZIP 49024
Phone
2693216673
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORTAGE, MI

Name Credential NPI
MR. THOMAS JONES RPA C 1598700593
MELISSA ANN DUSSELJEE PA-C 1861415002
LESLIE A PRICE PA-C 1265441703
ALLAN FAUST PA-C 1396851473
JEFFRY SCOTT FREEMAN PA 1285745950
THERESE A BIRKAM-JADE PA-C 1124112982
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.