Individual
DR. DEBORAH LEE LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC/A, F-AAA
Contact information
Practice address
115 GEORGIA AVE, PROVIDENCE, RI 02905-4422
(401) 444-5485
(401) 444-6212
Mailing address
593 EDDY STREET, RI HOSPITAL, PROVIDENCE, RI 02903-4923
(401) 444-5485
(401) 444-6212
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
249
MA
231H00000X
Audiologist
Primary
AUD00060
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5100020
—
MA
Enumeration date
11/07/2006
Last updated
08/14/2012
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