| Doctor Name: | LOREN DEIDRE LYONS |
| NPI Number: | 1053641928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | F420939-1 |
| Business Practice Address: | 100 S Jersey Ave Unit 16 Setauket, NY - 117332034 |
| Business Phone Number: | 6316896400 |
| Business Fax Number: | |
| Mailing Address: | 100 S Jersey Ave, Unit 16 SETAUKET |
| State: | NY |
| Postal Code: | 117332034 |
| Phone Number: | 6316896400 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2009 |
| NPI Last Update Date: | 12/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | F420939-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |