Individual
CONNIE JO LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
482 DAVIDS ST, MARION, OH 43302-4749
(740) 361-4711
Mailing address
482 DAVIDS ST, MARION, OH 43302-4749
(740) 361-4711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN119215-M-IV
OH
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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