Provider Demographics
NPI:1598855009
Name:LYONS, LISA A (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:A
Last Name:LYONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:WINCHESTER MEDICAL CENTER
Mailing Address - Street 2:1840 AMHERST ST.
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-536-8708
Mailing Address - Fax:540-536-4177
Practice Address - Street 1:WINCHESTER MEDICAL CENTER
Practice Address - Street 2:1840 AMHERST ST.
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-536-8708
Practice Address - Fax:540-536-4177
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV25496207P00000X
VA0101238336207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810008287Medicaid
VAI66997Medicare UPIN
WV3810008287Medicaid