Doctor Name: | MRS. KATHRYN MICHELE LYONS |
NPI Number: | 1023213360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MN, RN |
License Number: | RN 103923 |
Business Practice Address: | 433 Plaza St Bogalusa, LA - 704273729 |
Business Phone Number: | 9857306773 |
Business Fax Number: | 9857306777 |
Mailing Address: | 1203 Avenue L, BOGALUSA |
State: | LA |
Postal Code: | 704274129 |
Phone Number: | 9857329834 |
Fax Number: | 9857306777 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | RN 103923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |