Individual
TARA MARIE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 PARK DR, BRONX, NY 10464-1005
(917) 226-9836
(877) 636-0628
Mailing address
PO BOX 8503, PELHAM, NY 10803-8503
(917) 226-9836
(877) 636-0628
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430175-1
NY
Other
Enumeration date
01/31/2010
Last updated
05/21/2013
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