Provider Demographics
NPI:1164696324
Name:LYONS, PRESHIOUS MARKIA (LPN)
Entity Type:Individual
Prefix:
First Name:PRESHIOUS
Middle Name:MARKIA
Last Name:LYONS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 E 176TH ST LOWR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-3140
Mailing Address - Country:US
Mailing Address - Phone:330-774-8070
Mailing Address - Fax:
Practice Address - Street 1:1212 E 176TH ST LOWR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-3140
Practice Address - Country:US
Practice Address - Phone:330-774-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN119958164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse