MEDICARE: DAWN E LYON CCC-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
1	235Z00000X	Speech-Language Pathologist	10702	NC
2	235Z00000X	Speech-Language Pathologist	12136354	TN

General Provider Information

NPI Number	:	1740617026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN E LYON CCC-SLP

Provider Business Mailing Address
First Line	:	3649 CAPE CENTER DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4457
Country	:	US
Telephone Number	:	910-484-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	3649 CAPE CENTER DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4457
Country	:	US
Telephone Number	:	910-484-1711
Fax Number	:

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

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	06/02/2026

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Directions to “ DAWN E LYON CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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