MEDICARE: DAVID 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	101YM0800X	Mental Health Counselor	2749	KS

General Provider Information

NPI Number	:	1629518444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LYONS

Provider Business Mailing Address
First Line	:	9824 W 132ND TER
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-3319
Country	:	US
Telephone Number	:	913-645-7073
Fax Number	:

Provider Business Practice Location Address
First Line	:	9824 W 132ND TER
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-3319
Country	:	US
Telephone Number	:	913-645-7073
Fax Number	:

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

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	02/27/2017

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Directions to “ DAVID LYONS ” Practice Location

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