| Organization Name: | LYONS PRIMARY URGENT CARE |
| NPI Number: | 1205281227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERTA DIANE ESPINOZA-LYONS (OWNER) |
| Mailing Address: | 322 W Water St New Lexington |
| State: | OH US |
| Postal Code: | 437641479 |
| Phone Number: | 7403430450 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2016 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | COA10303NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |