Individual
AMBER STARK LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP142347
TX
390200000X
Student in an Organized Health Care Education/Training Program
RN671652
PA
Other
Enumeration date
06/20/2019
Last updated
11/06/2019
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