Individual
SHANELLE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SCHAPER AVE, ERIE, PA 16509-1071
(814) 460-9623
Mailing address
4300 SCHAPER AVE, ERIE, PA 16509-1071
(814) 460-9623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
931445276
PA
Other
Enumeration date
05/16/2024
Last updated
05/29/2024
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