| NPI | 1811582307 |
|---|---|
| Former Name | ELIZABETH A LYONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.026713) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.026713) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2025-03-06 |