Provider Demographics
NPI:1063191377
Name:LYONS ECHO-HAWK, JASHA
Entity type:Individual
Prefix:
First Name:JASHA
Middle Name:
Last Name:LYONS ECHO-HAWK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:PAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74058-0252
Mailing Address - Country:US
Mailing Address - Phone:405-780-0044
Mailing Address - Fax:
Practice Address - Street 1:2018 TIMBERLANE RD
Practice Address - Street 2:
Practice Address - City:PAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74058-4526
Practice Address - Country:US
Practice Address - Phone:405-780-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula