Tawana D Lyons
Tawana D Lyons is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Racine, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
2332 Gilson StRacine, WI 53403-3010
Phone: (262) 800-1032
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 0018876 (WI) |
|---|
Record details
| NPI number | 1558068874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2023 |
| Last updated in NPPES | February 8, 2023 |
| Certification date | February 8, 2023 |
| Mailing address | 2332 Gilson St, Racine, WI 53403-3010 |
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