Provider Demographics
NPI:1477290799
Name:LYONS, CORI ANNE (PNP)
Entity Type:Individual
Prefix:MS
First Name:CORI
Middle Name:ANNE
Last Name:LYONS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-454-6018
Mailing Address - Fax:844-621-4392
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV PED HEMATOLOGY AND ONC
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6018
Practice Address - Fax:844-621-4392
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022010796363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily