Keely Lyon, LPN is a
Licensed Practical Nurse based in East Fultonham, Ohio. Keely Lyon is licensed to practice in Ohio (license number PN.136255-IV) and her current practice location is
6855 Elm Street, East Fultonham, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 849-3063.
NPI number for Keely Lyon is 1649505256 and her current mailing address is 6855 Elm Street, Po Box 140, East Fultonham, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649505256.
Provider's Profile
| Full Name | Keely Lyon |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 6855 Elm Street, East Fultonham, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649505256
- Provider Enumeration Date: 10/15/2009
- Last Update Date: 10/15/2009
Medical Identifiers
Medical identifiers for Keely Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649505256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN.136255-IV (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keely Lyon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keely Lyon, LPN
6855 Elm Street, Po Box 140,
East Fultonham, OH 43735
Ph: (740) 849-3063 | Keely Lyon, LPN
6855 Elm Street,
East Fultonham, OH 43735
Ph: (740) 849-3063 |
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