Individual
SHONDA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
860545
MS
251J00000X
Nursing Care Agency
Primary
860545
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013348713
—
MS
Enumeration date
12/05/2013
Last updated
07/27/2023
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