Provider Demographics
NPI:1134371917
Name:ESPINOZA-LYONS, ALBERTA DIANE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ALBERTA
Middle Name:DIANE
Last Name:ESPINOZA-LYONS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 TOWNSHIP ROAD 223 SE
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764
Mailing Address - Country:US
Mailing Address - Phone:740-342-4334
Mailing Address - Fax:
Practice Address - Street 1:4141 TOWNSHIP ROAD 223 SE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-9739
Practice Address - Country:US
Practice Address - Phone:740-342-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN260365363LF0000X
OH10303 NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2968534Medicaid
OH2968534Medicaid
OHNP31101Medicare UPIN