Provider Demographics
NPI:1508167438
Name:LYONS, VALERIE ANN (MD,FCAP)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANN
Last Name:LYONS
Suffix:
Gender:F
Credentials:MD,FCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 ROYAL PALM DR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1409
Mailing Address - Country:US
Mailing Address - Phone:954-895-1081
Mailing Address - Fax:954-895-1081
Practice Address - Street 1:52 ROYAL PALM DR
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1409
Practice Address - Country:US
Practice Address - Phone:954-895-1081
Practice Address - Fax:954-895-1081
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70954207ZP0102X
PAMD060585L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology