Individual
ALLYSSA LOUISE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2179
Mailing address
520 ROOSEVELT AVE, SPRINGFIELD, MA 01118-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2183
ME
Other
Enumeration date
05/15/2018
Last updated
10/08/2021
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