MEDICARE: ANN 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	235Z00000X	Speech-Language Pathologist	SP.16513	OH

General Provider Information

NPI Number	:	1548143373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN LYONS

Provider Business Mailing Address
First Line	:	2096 MARLOWE AVE APT 2
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-5971
Country	:	US
Telephone Number	:	440-396-0898
Fax Number	:

Provider Business Practice Location Address
First Line	:	26450 BAGLEY RD
Second Line	:
City	:	OLMSTED FALLS
State	:	OH
Zip	:	44138-1896
Country	:	US
Telephone Number	:	440-427-6400
Fax Number	:

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

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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Directions to “ ANN LYONS ” Practice Location

Language	Start Address	Practice Location

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