Provider Demographics
NPI:1265090542
Name:LYON, PAIGE TERLIZZI (AUD)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:TERLIZZI
Last Name:LYON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:MICHELLE
Other - Last Name:TERLIZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3926 DAYTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-2716
Mailing Address - Country:US
Mailing Address - Phone:423-870-9930
Mailing Address - Fax:
Practice Address - Street 1:3926 DAYTON BLVD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-2716
Practice Address - Country:US
Practice Address - Phone:423-870-9930
Practice Address - Fax:866-258-2154
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist