Provider Demographics
NPI:1043400526
Name:WILLIAMS-LYONS, MARCIA VICTORIA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:VICTORIA
Last Name:WILLIAMS-LYONS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 E EMERALD AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-4569
Mailing Address - Country:US
Mailing Address - Phone:865-637-8635
Mailing Address - Fax:865-637-9882
Practice Address - Street 1:939 E EMERALD AVE STE 610
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-4569
Practice Address - Country:US
Practice Address - Phone:865-637-8635
Practice Address - Fax:865-637-9882
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2053174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist