Individual
KATHLEEN LYONS
Active
Individual
KATHLEEN LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A., R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R092205
MD
363AM0700X
Medical Physician Assistant
Primary
C0001337
MD
Other
Enumeration date
07/06/2006
Last updated
04/05/2012
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