Provider Demographics
NPI:1154683464
Name:LYONS, DAUN LOREEN (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:DAUN
Middle Name:LOREEN
Last Name:LYONS
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 S INGALLS OAK
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-7473
Mailing Address - Country:US
Mailing Address - Phone:405-414-3652
Mailing Address - Fax:
Practice Address - Street 1:116 W 7TH AVE
Practice Address - Street 2:STE. 231
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4064
Practice Address - Country:US
Practice Address - Phone:405-414-3652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6992255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer