Individual
MRS. CYNTHIA MARIE LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1717 S 70TH ST, WEST ALLIS, WI 53214-4850
(414) 791-2031
Mailing address
8908 STICKNEY AVE, WAUWATOSA, WI 53226-2737
(414) 302-9923
(414) 302-9926
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
114130-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38220300
—
WI
Enumeration date
02/21/2007
Last updated
07/08/2007
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