Shannon M Lyon in Ithaca - Physician Assistant
Shannon M Lyon - NPI 1700895141
Shannon M Lyon is a Physician Assistant in Ithaca, New York. Shannon M Lyon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon M Lyon is 1700895141. The last update date is 2023-06-05.
Shannon M Lyon's current location address is 620 W Seneca St, Ithaca, New York. You can contact this provider via phone number 6072731513 and fax number 6072160039. The mailing address for Shannon M Lyon is 620 W Seneca St, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Lyon |
|---|---|
| Address | 620 W Seneca St, Ithaca, New York |
| Phone Number | 6072731513 |
| Fax Number | 6072160039 |
| Sole Proprietor | Y |
| Credentials | RPA |
NPI Number Detail
| NPI Number | 1700895141 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2023-06-05 |
Provider Mailing Address Detail
| Address | 620 W Seneca St |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148503326 |
| Phone Number | 6072731513 |
| Fax Number | 6072160039 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11268 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Shannon M Lyon by the Centers for Medicare & Medicaid Services?
The Shannon M Lyon has been assigned the NPI (National Provider Identifier) 1700895141. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shannon M Lyon's facilities are situated?
The facilities of Shannon M Lyon are physically located at the following address: 620 W Seneca St, Ithaca, NY, 148503326.
What is the area of specialization for Shannon M Lyon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon M Lyon is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700895141 to Shannon M Lyon?
The Centers for Medicare & Medicaid Services originally issued the 1700895141 to Shannon M Lyon on 2006-08-05.
As of what date were the Shannon M Lyon's details last updated?
The information pertaining to the Shannon M Lyon, including its address, specialty, and other details, was most recently updated on 2023-06-05.
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