Individual
MABLE EULALEE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD, CPC 1ST PALEY BLDG, PHILADELPHIA, PA 19141-3018
(214) 456-6532
Mailing address
410 MAPLE GROVE BLVD, LUMBERTON, NJ 08048-4605
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
06/23/2026
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