Doctor Name: | LAURA LYNN LYONS |
NPI Number: | 1174693436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | ARNP2761862 |
Business Practice Address: | 1644 Central Ave Mckinleyville, CA - 955194342 |
Business Phone Number: | 7078393068 |
Business Fax Number: | 7078393827 |
Mailing Address: | 670 9th St, Suite 203 ARCATA |
State: | CA |
Postal Code: | 955216248 |
Phone Number: | 7078268633 |
Fax Number: | 7078268638 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | ARNP2761862 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |