Provider Demographics
NPI:1366471757
Name:LYONS, COZZETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:COZZETTE
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:COZZETTE
Other - Middle Name:
Other - Last Name:LYONS-JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10300 COMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90002-3628
Mailing Address - Country:US
Mailing Address - Phone:323-564-4331
Mailing Address - Fax:323-563-3143
Practice Address - Street 1:10300 COMPTON AVENUE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90002
Practice Address - Country:US
Practice Address - Phone:323-564-4331
Practice Address - Fax:323-563-3143
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA069529207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine