Individual
MS. MARY C LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 S LEWIS LN, CARBONDALE, IL 62901-3547
(618) 519-9901
(519) 529-1384
Mailing address
109 CALIFORNIA STREET, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000952
IL
Other
Enumeration date
12/28/2006
Last updated
09/18/2015
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