Lyons, Rebecca

Lyons, Rebecca is an individual health care provider with primary practice located at 1140 Lexington Rd , Georgetown KY 40324-9330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lyons, Rebecca can be contacted via phone (502) 868-1100.

Contact Information

Primary practice address
1140 Lexington Rd Georgetown KY 40324-9330
Phone: (502) 868-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4087A Kentucky

Profile Details

NPI number 1093707630
LBN Legal business name Lyons, Rebecca
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1093707630 NPPES
Kentucky MEDICAID 74008103

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