Provider Demographics
NPI:1891042024
Name:LYON, DORANN R (MSSPED)
Entity Type:Individual
Prefix:MS
First Name:DORANN
Middle Name:R
Last Name:LYON
Suffix:
Gender:F
Credentials:MSSPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 NEW HAMPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1316
Mailing Address - Country:US
Mailing Address - Phone:516-431-7645
Mailing Address - Fax:516-431-7645
Practice Address - Street 1:125 E BETHPAGE ROAD
Practice Address - Street 2:MARION K SALOMON & ASSOCIATES
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:516-431-7645
Practice Address - Fax:516-431-7645
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist