| Doctor Name: | MRS. KAREY MARLENE LYON |
| NPI Number: | 1497911440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F 1104211 |
| Business Practice Address: | 115 6th St Ne Suite E Cass Lake, MN - 566333428 |
| Business Phone Number: | 2183354500 |
| Business Fax Number: | 2183358219 |
| Mailing Address: | 13217 68th Ave Nw, CASS LAKE |
| State: | MN |
| Postal Code: | 566339734 |
| Phone Number: | 2183350050 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F 1104211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |