Individual
LIONEL S LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
101 SCHOOL ST, REVERE, MA 02151-3001
(617) 875-0606
Mailing address
100 ATHELSTANE RD, NEWTON, MA 02459-2419
(617) 875-0606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3084
MA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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