Lyons, Susan J
Lyons, Susan J is an individual health care provider with primary practice located at 1343 N Fountain Blvd , Springfield OH 45504-1422. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lyons, Susan J can be contacted via phone (937) 390-5000.Contact Information
Primary practice address
1343 N Fountain Blvd
Springfield OH 45504-1422
Phone: (937) 390-5000
Fax: (937) 390-5526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50001072 | Ohio |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 50 001072 | Hawaii |
Profile Details
| NPI number | 1366494833 |
|---|---|
| LBN Legal business name | Lyons, Susan J |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Apr 5th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366494833 | NPPES |
| Other | P00054487 | RAIL ROAD MEDICARE |
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