Individual
JASON LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
103 MUNRO DR, CAMILLUS, NY 13031-1913
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
724272
NY
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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