| Perry E Lyon LLC | |
|
200 Ne Missouri Rd Lees Summit MO 64086-4722 | |
| (816) 523-0103 | |
| (816) 361-6471 |
| Full Name | Perry E Lyon LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Ne Missouri Rd, Lees Summit, Missouri |
| Authorized Official Name and Position | Perry E Lyon (PRESIDENT) |
| Authorized Official Contact | 8163612828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry E Lyon LLC 200 Ne Missouri Rd Lees Summit MO 64086-4722 Ph: (816) 523-0103 | Perry E Lyon LLC 200 Ne Missouri Rd Lees Summit MO 64086-4722 Ph: (816) 523-0103 |
| NPI Number | 1932501178 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932501178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000077 (Missouri) | Primary |
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