Provider Demographics
NPI:1588043053
Name:LYONS, MONIQUE LACOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:LACOLE
Last Name:LYONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3262 WESTHEIMER RD # 221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1002
Mailing Address - Country:US
Mailing Address - Phone:248-433-6977
Mailing Address - Fax:
Practice Address - Street 1:804 S HOOD ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3459
Practice Address - Country:US
Practice Address - Phone:281-331-5088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010327111N00000X
TX13609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor