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NPI Code Detail

MEDICARE: MRS. ERICA LEE LYONS MS, CF-SLP

MEDICARE: MRS. ERICA LEE LYONS MS, CF-SLP
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
1235Z00000XSpeech-Language Pathologist3185-154WI

General Provider Information

NPI Number : 1023248689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA LEE LYONS MS, CF-SLP
Provider Business Mailing Address
First Line : 2323 N 90TH ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-1828
Country : US
Telephone Number : 920-242-6395
Fax Number :
Provider Business Practice Location Address
First Line : 17700 W CAPITOL DR
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-2006
Country : US
Telephone Number : 262-781-3083
Fax Number : 262-781-3080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 09/24/2020

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