Individual
MARY T LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(443) 844-5135
Mailing address
731 PHILLIPPA ST, HINSDALE, IL 60521-2444
(630) 325-3706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010448
IL
Other
Enumeration date
06/18/2013
Last updated
06/26/2020
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