Shaunna M Lyon in Lake Geneva - Pediatrics

Shaunna M Lyon - NPI 1891904546

Shaunna M Lyon is a Pediatrics in Lake Geneva, Wisconsin. Shaunna M Lyon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shaunna M Lyon is 1891904546. The last update date is 2012-12-19.

Shaunna M Lyon's current location address is N2950 State Road 67, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622450535 and fax number 2622452248. The mailing address for Shaunna M Lyon is N2950 State Road 67, Lake Geneva, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Shaunna M Lyon
Address N2950 State Road 67, Lake Geneva, Wisconsin
Phone Number 2622450535
Fax Number 2622452248
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891904546
Provider Enumeration Date 2007-05-21
Last Updated Date 2012-12-19

Provider Mailing Address Detail

Address N2950 State Road 67
City Lake Geneva
State Wisconsin (WI)
Post Code 531472655
Phone Number 2622450535
Fax Number 2622452248

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No R-7249
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LYONSHA WI MERCYCARE INSURANCE
1891904546 WI --
54309 IA WELLMARK BCBS

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FAQs about Shaunna M Lyon

What is the unique provider identifier assigned to Shaunna M Lyon?

The Shaunna M Lyon has been issued the NPI (National Provider Identifier) 1891904546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Shaunna M Lyon is geographically located?

The Shaunna M Lyon is physically situated at the following location: N2950 State Road 67, Lake Geneva, WI, 531472655.

What is the Shaunna M Lyon's specialty and taxonomy code?

The Shaunna M Lyon's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1891904546 to Shaunna M Lyon?

The Shaunna M Lyon received its 1891904546 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.

When was the information regarding Shaunna M Lyon most recently updated?

The details pertaining to the Shaunna M Lyon, including its address, specialty, and other relevant information, were last refreshed on 2012-12-19.

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