Provider Demographics
NPI:1073814323
Name:MARQUEZ LYONS, DIANA LUCIA I (LCSW)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:LUCIA
Last Name:MARQUEZ LYONS
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 MERRIMAN RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1748
Mailing Address - Country:US
Mailing Address - Phone:203-668-6089
Mailing Address - Fax:203-457-9889
Practice Address - Street 1:2106 BRAEWICK CIR STE 102
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6259
Practice Address - Country:US
Practice Address - Phone:203-668-6089
Practice Address - Fax:203-457-9889
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0073381041C0700X
OHI.19016401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical