Provider Demographics
NPI:1467508317
Name:LYONS, PATRICIA (MSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-4054
Mailing Address - Country:US
Mailing Address - Phone:954-322-2296
Mailing Address - Fax:954-322-5399
Practice Address - Street 1:601 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4054
Practice Address - Country:US
Practice Address - Phone:954-322-2296
Practice Address - Fax:954-322-5399
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL760429700Medicaid