Individual
MS. DIANE CONDON LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC/A
Contact information
Practice address
500 CONGRESS ST, 2J, QUINCY, MA 02169-0908
(617) 479-7503
Mailing address
500 CONGRESS ST, 2J, QUINCY, MA 02169-0908
(617) 479-7503
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
443
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102286
—
MA
Enumeration date
07/07/2006
Last updated
05/13/2008
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