NPI 1013336106

Nicole Lyons

Practitioner Surgery Physician Saint Paul, MN

Practice location

Address: 640 Jackson St, Saint Paul, MN 55101-2502
Phone: (651) 254-5151
Fax: (651) 254-3123
Mailing address: 8170 33rd Ave S Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 62252 (MN)

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Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 62252 (MN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013336106
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2014
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.