Lyons, Katharina

Lyons, Katharina is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lyons, Katharina can be contacted via phone (618) 462-2331.

Contact Information

Primary practice address
2615 Edwards St Alton IL 62002-3915
Fax: (618) 462-7160
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.012192 Illinois

Profile Details

NPI number 1730608746
LBN Legal business name Lyons, Katharina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730608746 NPPES
Illinois MEDICAID 370916475048

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