# ELLA CATHERINE LYONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114979465
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN066974 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | RN066974 | GA | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 09/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01067660 | AMERIGROUP | GA |
| 01 | — | 404137 | WELLCARE | GA |
| 01 | — | 50BBKLX | TERM'D MEDICARE PTAN | GA |
| 05 | — | 896062340B | — | GA |
| 05 | — | 896062340C | — | GA |
| 05 | — | NP2497 | — | SC |
| 01 | — | P00443157 | RR MEDICARE | GA |