Organization Name: | LYONS PRIMARY URGENT CARE LLC |
NPI Number: | 1407228588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERTA DIANE ESPINOZA-LYONS (OWNER APRN CNP) |
Mailing Address: | 322 W Water St New Lexington |
State: | OH US |
Postal Code: | 437641479 |
Phone Number: | 7403430450 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2015 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | RN.260365 COA10303NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |