Provider Demographics
NPI:1316200421
Name:LYONS, LORALETT DEBRA (BHRS)
Entity Type:Individual
Prefix:MRS
First Name:LORALETT
Middle Name:DEBRA
Last Name:LYONS
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 W BROOKS ST
Mailing Address - Street 2:APT 46
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4076
Mailing Address - Country:US
Mailing Address - Phone:918-408-4861
Mailing Address - Fax:
Practice Address - Street 1:2201 W BROOKS ST
Practice Address - Street 2:APT 46
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4076
Practice Address - Country:US
Practice Address - Phone:918-408-4861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral