Provider Demographics
NPI:1720015142
Name:LYONS, CHRISTINE W (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:W
Last Name:LYONS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:412 CREAMERY WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2500
Mailing Address - Country:US
Mailing Address - Phone:610-423-8300
Mailing Address - Fax:610-594-2625
Practice Address - Street 1:217 REECEVILLE ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1572
Practice Address - Country:US
Practice Address - Phone:610-423-8300
Practice Address - Fax:610-594-2625
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-01-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD035535E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001090254Medicaid
PA001090254Medicaid