Provider Demographics
NPI:1285954198
Name:LYONS, KARA K (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:K
Last Name:LYONS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 LUCERNE TER STE E
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2949
Mailing Address - Country:US
Mailing Address - Phone:407-839-1176
Mailing Address - Fax:407-839-3998
Practice Address - Street 1:1814 LUCERNE TER STE E
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2949
Practice Address - Country:US
Practice Address - Phone:407-839-1176
Practice Address - Fax:407-839-3998
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7947103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLER098ZMedicare PIN