Provider Demographics
NPI:1578375598
Name:MORTON, LYRICS DENISE
Entity type:Individual
Prefix:
First Name:LYRICS
Middle Name:DENISE
Last Name:MORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 W WESTERN AVE STE 326
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46619-3560
Mailing Address - Country:US
Mailing Address - Phone:574-213-2303
Mailing Address - Fax:
Practice Address - Street 1:2015 W WESTERN AVE STE 326
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46619-3560
Practice Address - Country:US
Practice Address - Phone:574-213-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care