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Individual

MRS. MOLLIE LEWIS LYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1919 PARKVIEW BLVD, HERMITAGE, PA 16148-1578
(724) 652-5144
(724) 856-8973
Mailing address
1919 PARKVIEW BLVD, HERMITAGE, PA 16148-1578
(724) 652-5144
(724) 856-8973

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN254774L
PA
164W00000X
Licensed Practical Nurse
RN254774L
PA

Other

Enumeration date
06/24/2016
Last updated
12/08/2016
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