Provider Demographics
NPI:1326682485
Name:LYONS, MERRILY (MSAT,ATC,LAT,FRCMS)
Entity type:Individual
Prefix:
First Name:MERRILY
Middle Name:
Last Name:LYONS
Suffix:
Gender:
Credentials:MSAT,ATC,LAT,FRCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 UNIVERSITY DR
Mailing Address - Street 2:MSN 3A5
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4444
Mailing Address - Country:US
Mailing Address - Phone:703-993-3277
Mailing Address - Fax:
Practice Address - Street 1:4501 UNIVERSITY DR
Practice Address - Street 2:GMU SPORTS MEDICINE
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-993-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer