Individual
NICHOLAS LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
54 HOSPITAL DRVIE, OSAGE BEACH, MO 65065
(573) 302-1661
Mailing address
5151 HIGHWAY 54, SUITE F, OSAGE BEACH, MO 65065-3285
(573) 302-1661
(573) 302-1719
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2001017840
MO
Other
Enumeration date
05/11/2006
Last updated
11/05/2021
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