Individual
MABLE EULALEE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 COTTMAN AVE, PHILADELPHIA, PA 19149-1007
(215) 444-7470
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011007
PA
364SF0001X
Family Health Clinical Nurse Specialist
SP011007
PA
Other
Enumeration date
11/06/2011
Last updated
04/30/2025
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