Individual
MIKAYLA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2253 OLYMPIC ST STE B, SPRINGFIELD, OH 45503-2736
(937) 419-0920
(937) 717-1663
Mailing address
2253 OLYMPIC ST STE B, SPRINGFIELD, OH 45503-2736
(937) 419-0920
(937) 717-1663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.430631
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031475
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.
OH
Other
Enumeration date
07/07/2020
Last updated
06/16/2022
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