Provider Demographics
NPI:1023213360
Name:LYONS, KATHRYN MICHELE (MN, RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:MICHELE
Last Name:LYONS
Suffix:
Gender:F
Credentials:MN, RN
Other - Prefix:
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Mailing Address - Street 1:1203 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-4129
Mailing Address - Country:US
Mailing Address - Phone:985-732-9834
Mailing Address - Fax:985-730-6777
Practice Address - Street 1:433 PLAZA ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3729
Practice Address - Country:US
Practice Address - Phone:985-730-6773
Practice Address - Fax:985-730-6777
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LARN 103923163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator