Provider Demographics
NPI:1487444543
Name:LYONS, DA'SHEREENA CHYENNE
Entity type:Individual
Prefix:MRS
First Name:DA'SHEREENA
Middle Name:CHYENNE
Last Name:LYONS
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 1:427 MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5257
Mailing Address - Country:US
Mailing Address - Phone:910-800-1042
Mailing Address - Fax:
Practice Address - Street 1:427 MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5257
Practice Address - Country:US
Practice Address - Phone:910-800-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist