Individual
LISA DIANE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 270-0477
Mailing address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 270-0477
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00122609
WA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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