Stacey Annette Lyons, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 60183776 Issued in WA

Practice address

1711 E. College Way Suite a
Mount Vernon, WA 98273

Phone

(360) 333-1894

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1841589645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 APACHE DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982738610",
            "telephone_number": "360-333-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E. COLLEGE WAY SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-333-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "STACEY",
        "middle_name": "ANNETTE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60183776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bob Allen Ly, D.O.
• Kelly Ann Lynch Ring, LMP, RF
• Brianne Helen Lynch, DPT
• Catherine R Lynch, MD
• Patrick M Lyons, M.D.
• Silvia Maceda
• Robert Macgilchrist
• Fima Macheret, MD
• Melissa Mary Macneal, PH.D.
• Christine Smith Mahoney, M.ED,CCC-SLP

• Specialist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.