Basic Information
| Provider Information | |||||||||
| NPI: | 1437399227 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LYONS | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | KATHLEEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2450 W. HUNTING PARK AVENUE | ||||||||
| Address2: | 3-208N | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157075030 | ||||||||
| FaxNumber: | 2157073494 | ||||||||
| Practice Location | |||||||||
| Address1: | 3401 N. BROAD STREET | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157078561 | ||||||||
| FaxNumber: | 2157073677 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2009 | ||||||||
| LastUpdateDate: | 06/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD447747 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207V00000X | MT190859 | PA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.