NPI Profile for DAWN M LYON in CENTERVILLE, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X |
| NPI # | 1275871105 |
|
| Status | Active | |
| Credentials | RN,CNP,CDE | |
| Entity | Individual | |
| Enumeration date | 01/28/2013 | |
| Last updated | 10/04/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAWN M LYON
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