Provider Demographics
NPI:1750721833
Name:LYONS, CHERYL LYNN (APN)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LYNN
Last Name:LYONS
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:PO BOX 95000 LB#7550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE A00
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-538-1388
Practice Address - Fax:973-538-9501
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2018-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00446100363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care