Provider Demographics
NPI:1104691542
Name:LYONS, ALISON HUNTER (RDN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:HUNTER
Last Name:LYONS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2696 S NORMAN CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2636
Mailing Address - Country:US
Mailing Address - Phone:732-759-5047
Mailing Address - Fax:
Practice Address - Street 1:2696 S NORMAN CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2636
Practice Address - Country:US
Practice Address - Phone:732-759-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86290841133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered