Shannon M Lyon RPA

NPI 1700895141 - Physician Assistant - 363A00000X

NPI Details
NPI 1700895141
Gender Female
Enumeration Date 08/05/2006
Last Updated 06/25/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
111 SENECA ST
HORNELL NY, 14843-1304, US
Phone (607) 324-1124
Fax (607) 324-2666
Business Location
620 W SENECA ST
ITHACA NY, 14850-3326, US
Phone (607) 273-1513
Fax (607) 216-0039
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 011268
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According to our database, Shannon M Lyon RPA NPI is 1700895141, taxonomy code is 363A00000X and license number is 011268, license state is located at New York. Shannon M Lyon RPA physically located at 111 Seneca St, Hornell NY, 14843-1304. NPI Number Shannon M Lyon RPA has the Individual type.

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1700895141 NPI number is provided on an as is basis without warranty of any kind. 1700895141 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon M Lyon RPA are for informational purposes only.