NPI Code Detail JSON Logo

1285299305 NPI number — CORINNE KATHLEEN LYONS ATC

NPI Number: 1285299305
Health Care Provider/Practitioner: CORINNE KATHLEEN LYONS ATC

Information about “1285299305” NPI (CORINNE KATHLEEN LYONS ATC) exists in 1285299305 in HTML format HTML  |  1285299305 in plain Text format TXT  |  1285299305 in PDF (Portable Document Format) PDF  |  1285299305 in an XML format XML  formats.

NPI Number : 1285299305 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285299305",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYONS",
    "FirstName": "CORINNE",
    "MiddleName": "KATHLEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1034 WESTOVER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORFOLK",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23507-1416",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-803-6821",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5151 PARK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRFIELD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06825-1090",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-396-8109",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/03/2019",
    "LastUpdateDate": "05/03/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "001259",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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