| Kathleen M Lyons Llc | |
|
205 Willow St Bldg B South Hamilton MA 01982-2255 | |
| (978) 572-0788 | |
| (844) 222-4840 |
| Full Name | Kathleen M Lyons Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Willow St Bldg B, South Hamilton, Massachusetts |
| Authorized Official Name and Position | Kathleen M Lyons (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9785720788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Lyons Llc 1 Canter Brook Ln South Hamilton MA 01982-5200 Ph: (978) 572-0788 | Kathleen M Lyons Llc 205 Willow St Bldg B South Hamilton MA 01982-2255 Ph: (978) 572-0788 |
| NPI Number | 1073289971 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Medicare PECOS PAC ID | 1850797598 |
|---|---|
| Medicare Enrollment ID | O20210907000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073289971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathleen M Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295379238 PECOS PAC ID: 2769888403 Enrollment ID: I20210907000335 |
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