MEDICARE: MAUREEN E LYONS PT

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
1	225100000X	Physical Therapist	2305002540	VA

General Provider Information

NPI Number	:	1700876034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN E LYONS PT

Provider Business Mailing Address
First Line	:	1126 KIME LN
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-5301
Country	:	US
Telephone Number	:	540-427-6552
Fax Number	:	540-389-1213

Provider Business Practice Location Address
First Line	:	1126 KIME LN
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-5301
Country	:	US
Telephone Number	:	540-427-6552
Fax Number	:	540-389-1213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	01/20/2015

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Directions to “ MAUREEN E LYONS PT” Practice Location

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