Mr Dave Lyons, CSAC ICS in Waukesha, WI - Counselor

Mr Dave Lyons, CSAC ICS is a Counselor - Addiction (substance Use Disorder) based in Waukesha, Wisconsin. Mr Dave Lyons is licensed to practice in Wisconsin (license number 12052134) and his current practice location is 2422 North Grandview Blvd, Waukesha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 549-6600.

NPI number for Mr Dave Lyons is 1861606535 and his current mailing address is 2422 North Grandview Blvd, Waukesha, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861606535.

Contact Information

	Mr Dave Lyons, CSAC ICS
	2422 North Grandview Blvd, Waukesha, WI 53188
	(262) 549-6600
	(262) 549-6698

Healthcare Provider's Profile

Full Name	Mr Dave Lyons
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	2422 North Grandview Blvd, Waukesha, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1861606535
Provider Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Dave Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861606535	NPI	-	NPPES
39176600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1319132 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	12052134 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dave Lyons is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Dave Lyons, CSAC ICS 2422 North Grandview Blvd, Waukesha, WI 53188 Ph: (262) 549-6600	Mr Dave Lyons, CSAC ICS 2422 North Grandview Blvd, Waukesha, WI 53188 Ph: (262) 549-6600

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Mr Dave Lyons, CSAC ICS - in Waukesha, WI