Individual
DR. MAUREEN DANIELLE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016010132
MO
207R00000X
Internal Medicine Physician
Primary
MD213358
OR
208D00000X
General Practice Physician
2016010132
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200032839
—
MO
Enumeration date
06/29/2012
Last updated
09/14/2022
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