Provider Demographics
NPI:1437658630
Name:LYONS FAMILY CARE, PLLC
Entity Type:Organization
Organization Name:LYONS FAMILY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EBONEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:205-910-9932
Mailing Address - Street 1:349 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5800
Mailing Address - Country:US
Mailing Address - Phone:205-910-9932
Mailing Address - Fax:
Practice Address - Street 1:1678 MONTGOMERY HWY STE 104
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-4900
Practice Address - Country:US
Practice Address - Phone:205-910-9932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-03
Last Update Date:2018-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service