Healthcare Provider Details

I. General information

NPI: 1316147747
Provider Name (Legal Business Name): SABRINA LEE LYONS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W MARKET ST
MIDDLEBURG PA
17842-1019
US

IV. Provider business mailing address

2019 N 2ND ST
HARRISBURG PA
17102-2147
US

V. Phone/Fax

Practice location:
  • Phone: 570-966-3133
  • Fax: 570-966-3144
Mailing address:
  • Phone: 866-829-1154
  • Fax: 717-236-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW125639
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: