Individual
LISA M LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2121 NE 139TH ST, MOB A, SUITE 200, VANCOUVER, WA 98686-2316
(360) 487-1777
(360) 487-1779
Mailing address
PO BOX 2077, LEGACY PROFESSIONAL BILLING, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004080
WA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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