Provider Demographics
NPI:1326565045
Name:LYONS, ELISABETH ROSE (ARNP)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:ROSE
Last Name:LYONS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E ARMY POST RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-5939
Mailing Address - Country:US
Mailing Address - Phone:515-285-6200
Mailing Address - Fax:515-287-0204
Practice Address - Street 1:1000 E ARMY POST RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-5939
Practice Address - Country:US
Practice Address - Phone:877-811-7526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0197859163W00000X
IA118964163W00000X
IAF118964363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse