Lyons, Traci M
Lyons, Traci M is an individual health care provider with primary practice located at 14535A Hazel Dell Pkwy , Carmel IN 46033-9401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lyons, Traci M can be contacted via phone (317) 770-3777.Contact Information
Primary practice address
14535A Hazel Dell Pkwy
Carmel IN 46033-9401
Phone: (317) 770-3777
Fax: (317) 705-4391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10001601A | Indiana |
Profile Details
| NPI number | 1720416985 |
|---|---|
| LBN Legal business name | Lyons, Traci M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2013 |
| Last updated | Mar 30th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720416985 | NPPES |
| Indiana | MEDICAID | 300009159 |
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