| Lisa Gallishaw Lyon, PA-C | |
|
15-2662 Pahoa Village Rd, Suite 303 Pmb 8741, Pahoa, HI 96778-7730 | |
| (808) 930-6001 | |
| Not Available |
| Full Name | Lisa Gallishaw Lyon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 15-2662 Pahoa Village Rd, Pahoa, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821360819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AMD 366 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Gallishaw Lyon, PA-C 350 Sumner St, Sumner Wellness Clinic, Honolulu, HI 96817-5088 Ph: (808) 477-2925 | Lisa Gallishaw Lyon, PA-C 15-2662 Pahoa Village Rd, Suite 303 Pmb 8741, Pahoa, HI 96778-7730 Ph: (808) 930-6001 |