Individual
SHIRLEE J LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 TAMARA DR, SAINT JOSEPH, MO 64506-3221
(660) 730-8397
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-4087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2003007684
MO
101Y00000X
Counselor
5787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498316504
—
MO
Enumeration date
04/14/2006
Last updated
04/26/2023
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