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MR. LAWRENCE R TYLER PA-C
NPI 1447299789
Physician Assistant - Surgical in Kalamazoo, MI

Active since June 05, 2006
1815 HENSON AVE, KALAMAZOO, MI 49048(269) 492-6500(269) 492-6461 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2020, Nov 4, 2019, Nov 23, 2016 (3 updates tracked since 2016).

About Mr. Lawrence R Tyler Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAWRENCE R TYLER PA-C (NPI 1447299789) is an individual surgical provider in Kalamazoo, Michigan, licensed in Michigan (5601007215) and active in the NPI registry since June 2006. He maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1447299789
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. LAWRENCE R TYLERCredential: PA-C
Location Address1815 HENSON AVEKalamazoo, MI 49048-1510
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1400 · Fax (239) 424-1421
Phone(269) 492-6500
Fax(269) 492-6461
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 30, 20203 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
✔ NPI 1447299789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MI · 5601007215✔ Licensed in FL · PA9108308✔ Licensed in OH · 50-00-0236
1815 HENSON AVE, Kalamazoo, MI 49048
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Secondary Practice Location 1

Location 14771 S Cleveland AveFort Myers, FL 33907-1317 · Phone (239) 343-9800 · Fax (239) 343-9848

Other Identifiers 1

Medicaid1447299789MI

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISHNA MOHAN JAIN M.D.
Surgery (Vascular Surgery)
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500
WILLIAM RATIGAN RANGER M.D.
Surgery (Vascular Surgery)
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500
DR. DANIEL JAMES JOHNSTON MD
Surgery (Vascular Surgery)
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500
DR. MARK C RUMMEL M.D.
Surgery (Vascular Surgery)
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500
BETH A WAGENVELT NP
Nurse Practitioner
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500
PARAGON HEALTH, PC
Surgery (Vascular Surgery)
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6507
MRS. TAMMY GALE KLEMENS N.P.
Nurse Practitioner
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500
DR. JOHN S MUNN M.D.
Surgery (Vascular Surgery)
1815 HENSON AVE
KALAMAZOO, MI 49048
Kalamazoo County (269) 492-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Tyler's NPI number?

The NPI number for Lawrence Tyler is 1447299789. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Lawrence Tyler located?

Lawrence Tyler practices at 1815 Henson Ave, Kalamazoo, MI 49048. The listed phone number is (269) 492-6500.

What is Lawrence Tyler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Lawrence Tyler was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.