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NPI Code Detail

MEDICARE: ERIN LYONS

MEDICARE: ERIN LYONS
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1558613455
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LYONS
Provider Business Mailing Address
First Line : 2027 LAUDERDALE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23238-3940
Country : US
Telephone Number : 804-421-5250
Fax Number :
Provider Business Practice Location Address
First Line : 2027 LAUDERDALE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23238-3940
Country : US
Telephone Number : 804-421-5250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2012
Last Update Date : 10/03/2012

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Directions to “ ERIN LYONS ” Practice Location

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