Mary C. Lyons, PA

Physician Assistant · Carbondale, IL

Individual Active NPI

NPI number 1801952775

Practice location

400 S Lewis Ln
Carbondale, IL 62901-3547
Phone
(618) 519-9901
Fax
(519) 529-1384

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NPI record

NPI
1801952775
Entity type
Individual (Type 1)
Enumeration date
December 28, 2006
Last updated
September 18, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085-000952 IL

Mailing address

109 California Street
PO Box 577
Carterville, IL 62918-0577
Phone
(618) 985-8221
Fax
(618) 985-4635

About Mary Lyons

Mary C. Lyons, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 400 S Lewis Ln, Carbondale, IL 62901-3547. The NPI number 1801952775 was assigned on December 28, 2006 and the record was last updated on September 18, 2015.

Mary Lyons lists a license in the registry: #085-000952 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary C. Lyons, PA?

The NPI number is 1801952775.

What is the phone number of Mary Lyons?

The phone number listed for the practice location is (618) 519-9901.

Where is Mary Lyons located?

400 S Lewis Ln, Carbondale, IL 62901-3547.

What is the taxonomy code for Mary Lyons?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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