MEDICARE: CHRISTINE LYONS

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
1	124Q00000X	Dental Hygienist	DEN-RDH-LIC-17388	MT

General Provider Information

NPI Number	:	1376366344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE LYONS

Provider Business Mailing Address
First Line	:	1001 S MAIN ST STE 2603
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-1498
Country	:	US
Telephone Number	:	406-217-7536
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 8TH ST N STE A
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-1517
Country	:	US
Telephone Number	:	406-217-7536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	03/23/2026

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Directions to “ CHRISTINE LYONS ” Practice Location

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