Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Lawrence R Tyler, PA-C

Individual provider Surgical Physician Assistant · NPI 1447299789

Mr. Lawrence R Tyler, PA-C is a Surgical Physician Assistant in Kalamazoo, Michigan. Works from 2 locations. Licensed in Florida, Michigan and Ohio.

Licensed in
FL, MI, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone: (269) 492-6500
Fax: (269) 492-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601007215 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9108308 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50-00-0236 (OH)

Record details

NPI number1447299789
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

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