Provider Demographics
NPI:1104343011
Name:LYONS CHVALA NEPHROLOGY ASSOCIATES
Entity type:Organization
Organization Name:LYONS CHVALA NEPHROLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-384-0238
Mailing Address - Street 1:419 N FRANKLIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2400
Mailing Address - Country:US
Mailing Address - Phone:610-696-4956
Mailing Address - Fax:610-696-5263
Practice Address - Street 1:419 N FRANKLIN ST STE 3
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2400
Practice Address - Country:US
Practice Address - Phone:610-696-4956
Practice Address - Fax:610-696-5263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYONS CHVALA NEPHROLOGY ASSOC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty