Individual ProviderLeah LyonsPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address25 Michigan St NE, 6100, Grand Rapids, MI 49503-2515(616) 267-7900(616) 467-6790PECOS EnrollmentBased on the most recent information from CMS, provider Leah Lyons is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1972900173Provider TypeIndividualFull NameLyons, LeahGenderFemaleSole ProprietorNoEnumeration Date12/3/2014Last Updated1/19/2022Contact InformationPractice LocationPractice Address25 Michigan St NE, 6100, Grand Rapids, MI 49503-2515Phone(616) 267-7900FaxUnlisted FaxMailing LocationMailing Address100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560Phone(616) 467-6790FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601007234Michigan