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NPI Code Detail

MEDICARE: KRISTYN L LYONS CRNP

MEDICARE: KRISTYN L LYONS CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerR151871MD

General Provider Information

NPI Number : 1053355479
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTYN L LYONS CRNP
Provider Business Mailing Address
First Line : 806 MARION QUIMBY DR
Second Line :
City : STEVENSVILLE
State : MD
Zip : 21666-2536
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35 MILKSHAKE LN
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-1507
Country : US
Telephone Number : 410-269-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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