Provider Information for 1194949768
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ELIZABETH R LYONS LCSW
Other Names:Former Name:ELIZABETH R LALLY LCSWSex: Female
NPI: 1194949768
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1194949768 | ||||||||
| Enumeration Date | 2007-04-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3470 WOOLEN MILL ST. CHARLES, MO 63301 United States Phone: 314-397-3454 | Fax: | ||||||||
| Primary Practice Address | 3518 LACLEDE AVE SAINT LOUIS, MO 63103-2011 United States Phone: 314-977-1201 | Fax:314-977-7165 | ||||||||
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