Provider Demographics
NPI:1790187490
Name:LYONS, MEGAN O'HARE (CHHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:O'HARE
Last Name:LYONS
Suffix:
Gender:F
Credentials:CHHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6276 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3678
Mailing Address - Country:US
Mailing Address - Phone:214-803-1298
Mailing Address - Fax:
Practice Address - Street 1:2626 COLE AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-1094
Practice Address - Country:US
Practice Address - Phone:214-969-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist