Individual
SUSAN MARIE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 COOLIDGE ST, HUDSON, MA 01749-1354
(978) 562-4160
Mailing address
12 STRAWBERRY LN, WESTFORD, MA 01886-1972
(978) 273-6284
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
211168
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN211168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374440
—
MA
01
—
NP1876
BCBSMA
MA
Enumeration date
07/18/2006
Last updated
06/20/2022
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