Doctor Name: | MRS. PHYLLIS JANE LYONS |
NPI Number: | 1003191727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 77459 |
Business Practice Address: | 118 Lakewood Dr Bellefontaine, OH - 433112800 |
Business Phone Number: | 9375993407 |
Business Fax Number: | |
Mailing Address: | 118 Lakewood Dr, BELLEFONTAINE |
State: | OH |
Postal Code: | 433112800 |
Phone Number: | 9375993407 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2011 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 77459 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |