Healthcare Provider Details

I. General information

NPI: 1215846092
Provider Name (Legal Business Name): LAURA LYONS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 W EXCHANGE ST
AKRON OH
44302-1706
US

IV. Provider business mailing address

4740 ECHOSPRINGS ST NW
NORTH CANTON OH
44720-7526
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-1000
  • Fax:
Mailing address:
  • Phone: 330-543-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN.322832
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: