Individual
MS. COREY A LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 E CHERRY ST, WINSLOW, AZ 86047-3806
(928) 288-8100
Mailing address
209 E HILLVIEW ST, WINSLOW, AZ 86047-2711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO37389
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
962705
AHCCCS
AZ
Enumeration date
12/11/2006
Last updated
07/08/2007
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