Provider Demographics
NPI:1477031334
Name:LYONS, DANIEL P (APRN)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:LYONS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 HALL PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1848
Mailing Address - Country:US
Mailing Address - Phone:202-505-8573
Mailing Address - Fax:202-900-6333
Practice Address - Street 1:1660 L ST NW STE 503
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5667
Practice Address - Country:US
Practice Address - Phone:202-505-8573
Practice Address - Fax:202-900-6333
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1036647363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health