MS. MARY C LYONS PA - NPI 1801952775 - Physician Assistant in Carbondale, IL

Q: What is Mary Lyons's NPI number?

The NPI number for Mary Lyons is 1801952775. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Mary C Enderle PA.

Q: What is Mary Lyons's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lyons was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Ms. Mary C Lyons Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY C LYONS PA (NPI 1801952775) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085-000952) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1801952775

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. MARY C LYONSCredential: PA

Location Address400 S LEWIS LNCarbondale, IL 62901-3547

Mailing Address109 California Street, Po Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-4635

Phone(618) 519-9901

Fax(519) 529-1384

Sole ProprietorNo

Enumeration DateDecember 28, 2006

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1801952775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085-000952

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

400 S LEWIS LN, Carbondale, IL 62901

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Other Names 1

Former Name (1)Mary C Enderle Pa

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POORVA TALAPATRA M.ED., LCPC

Counselor (Mental Health)