Stephanie Lyon, PHARM.D

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC180198 Issued in OR

Practice address

1957 Thompson Rd Ste H
Coos Bay, OR 97420-2040

Phone

(303) 564-5623

NPI assigned

Dec 12, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376087296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1124",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119743",
            "telephone_number": "303-564-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE H",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "303-564-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Michigan Ave NE",
            "address_2": "Rite Aid Pharmacy",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119743",
            "country_code": "US",
            "telephone_number": "541-347-9547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC180198",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "15587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Lucas, PMHNP
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• Hannah Lund
• Peter Lund, M.D.
• Kamy Lutz
• Leeann Marie Macdonald, LMT
• Heather Renee Maclean, RN, NMNP - PP
• James Alan Maddox, M.D.
• Edgar Maeyens, MD
• Tiffany Mahikoa, RDH, EPDH

• Acupuncturist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.