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Individual
MAURA KELLY LYONS
Active
Individual
MAURA KELLY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN723012
PA
363LF0000X
Family Nurse Practitioner
Primary
SP028152
PA
Other
Enumeration date
04/16/2021
Last updated
09/25/2023
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