Individual
CECILIA LYONS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
408 N MAIN ST, WARSAW, NY 14569-1015
(585) 786-0085
Mailing address
408 N MAIN ST, WARSAW, NY 14569-1015
(585) 786-0085
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02128081
—
NY
Enumeration date
04/06/2006
Last updated
07/08/2007
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