Healthcare Provider Details

I. General information

NPI: 1598855009
Provider Name (Legal Business Name): LISA A. LYONS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WINCHESTER MEDICAL CENTER 1840 AMHERST ST.
WINCHESTER VA
22601
US

IV. Provider business mailing address

WINCHESTER MEDICAL CENTER 1840 AMHERST ST.
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-8708
  • Fax: 540-536-4177
Mailing address:
  • Phone: 540-536-8708
  • Fax: 540-536-4177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25496
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101238336
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: