Organization
WOOTEN LYONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE W LYONS PMHNP (CRNP - OWNER)
(240) 216-9201
Entity
Organization
Contact information
Practice address
10665 STANHAVEN PLACE, SUITE 300A, WHITE PLAINS, MD 20695
(240) 557-9626
Mailing address
PO BOX 415, WHITE PLAINS, MD 20695-0415
(240) 557-9626
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
R109198
MD
2084P0800X
Psychiatry Physician
Primary
R109198
MD
2084P0802X
Addiction Psychiatry Physician
R109198
MD
2084P0804X
Child & Adolescent Psychiatry Physician
R109198
MD
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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