Individual
EMERSON LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(847) 742-9800
Mailing address
1425 N RANDALL RD, ELGIN, IL 60123-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041507196
IL
163W00000X
Registered Nurse
R228462
MD
363A00000X
Physician Assistant
Primary
085008821
IL
Other
Enumeration date
01/15/2022
Last updated
03/01/2022
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