Provider Demographics
NPI:1881122257
Name:LYONNET, SURA (MD)
Entity type:Individual
Prefix:DR
First Name:SURA
Middle Name:
Last Name:LYONNET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SURA
Other - Middle Name:
Other - Last Name:KHUDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1541 EDINBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104
Mailing Address - Country:US
Mailing Address - Phone:419-297-5944
Mailing Address - Fax:
Practice Address - Street 1:200 N. MADISON ST.
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068
Practice Address - Country:US
Practice Address - Phone:269-781-4271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301112533207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine