Individual
MIRANDA B LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 TOWER CIR, SOMERSET, KY 42503-3476
(606) 772-3376
(606) 677-0335
Mailing address
85 TOWER CIR, SOMERSET, KY 42503-3476
(606) 772-3376
(606) 677-0335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1591
KY
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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