Individual
MARIA CHRISTINA M LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10707 PACIFIC ST STE 101, OMAHA, NE 68114
(402) 397-7989
Mailing address
15515 JACKSON CIR, OMAHA, NE 68154-2734
(480) 646-6826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
092848
IA
363AM0700X
Medical Physician Assistant
2241
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077934913
—
NE
Enumeration date
10/20/2009
Last updated
06/21/2019
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