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NPI Code Detail

MEDICARE: MEGAN O'HARE LYONS CHHC

MEDICARE: MEGAN O'HARE LYONS CHHC
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
1133N00000XNutritionist

General Provider Information

NPI Number : 1790187490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN O'HARE LYONS CHHC
Provider Business Mailing Address
First Line : 6276 RICHMOND AVE
Second Line :
City : DALLAS
State : TX
Zip : 75214-3678
Country : US
Telephone Number : 214-803-1298
Fax Number :
Provider Business Practice Location Address
First Line : 2626 COLE AVE STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75204-1094
Country : US
Telephone Number : 214-969-0024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 12/01/2019

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Directions to “ MEGAN O'HARE LYONS CHHC” Practice Location

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