NPI 1063790905

Natalie Lyons, BSCADC

Practitioner Specialist Des Moines, IA

Practice location

Address: 1409 Clark St, Des Moines, IA 50314-1964
Phone: (515) 643-6513

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10025 (IA)

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Registry record

NPI: 1063790905
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2011
Record last updated: 26 Jul 2011

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.