Individual
MELANIE MARIE LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 381-1341
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7659
AZ
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000276
—
AZ
Enumeration date
10/27/2019
Last updated
12/22/2022
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