person
Ms. Susan Blake Lyons, PA
Medical Physician Assistant in Le Roy, New York
NPI 1487681243

Susan Blake Lyons is a Medical Physician Assistant based in Le Roy, NY and is specialized in Medical. Susan Blake Lyons practices in Le Roy, NY and has the professional credentials of PA. The NPI Number for Susan Blake Lyons is 1487681243 and holds a License No. 004828 (New York).

The current practice location address for Susan Blake Lyons is 3 Tountas Ave, Le Roy, NY and can be reached out via phone at 585-767-4220 and via fax at 585-768-8165.

Location: 3 Tountas Ave, Le Roy, NY, 14482-1368
person
Provider Profile Details
NPI Number
1487681243
Provider Name
Susan Blake Lyons
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3 Tountas Ave, Le Roy, NY, 14482-1368
Phone Number
585-767-4220
Fax Number
585-768-8165
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02395962 05 NY
institution
Provider Business Practice Location Address Details
Address
3 Tountas Ave
City
State
Zip
14482-1368
Phone Number
585-767-4220
Fax Number
585-768-8165
person
Provider Business Mailing Address Details
Address
3 Tountas Ave
City
State
Zip
14482-1368
Phone Number
585-767-4220
Fax Number
585-768-8165
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004828 (New York)
Definition
Definition to come...
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