Individual
MRS. CHERYL ANN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-C
Contact information
Practice address
607 BURKARTH RD, SUITE A, WARRENSBURG, MO 64093-1461
(660) 747-6186
Mailing address
4401 W 109TH ST, SUITE 200, OVERLAND PARK, KS 66211-1303
(913) 312-5100
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2006024896
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06215014
BCBS OF KC GRP #
MO
01
—
09841038
BCBS OF KC PERF PROV #
MO
05
—
523566156
—
MO
Enumeration date
10/26/2005
Last updated
10/02/2012
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