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

Mr. Lyndon Tyrone Willis I

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891263489

Mr. Lyndon Tyrone Willis I is a Student in an Organized Health Care Education/Training Program in Elyria, Ohio. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

347 Midway Blvd Ste 210
Elyria, OH 44035-2496
Phone: (440) 324-5555
Fax: (440) 324-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891263489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 13, 2018

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