Individual
LOREN DEIDRE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
100 S JERSEY AVE UNIT 16, SETAUKET, NY 11733-2036
(631) 689-6400
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
420939
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
420939
NY
Other
Enumeration date
12/28/2009
Last updated
12/03/2019
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