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NPI Code Detail

MEDICARE: MRS. KERRY HARTMAN LYON M.A.

MEDICARE: MRS. KERRY HARTMAN LYON M.A.
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
1237600000XAudiologist-Hearing Aid Fitter50929TX
2237600000XAudiologist-Hearing Aid Fitter2143NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972602498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRY HARTMAN LYON M.A.
Provider Business Mailing Address
First Line : 1500 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4019
Country : US
Telephone Number : 913-532-6935
Fax Number : 915-532-6289
Provider Business Practice Location Address
First Line : 1500 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4019
Country : US
Telephone Number : 913-532-6935
Fax Number : 915-532-6289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 04/20/2009

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