National Provider Identifier

Cody Constance Lyons

Cody Constance Lyons is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1093550030Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1093550030
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 01, 2024
Last Updated
July 01, 2024

Practice Location

  • 200 E 3Rd St Ste 5
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Mailing Address

  • 2 Academy St Rm 201
  • Mayville, NY 14757-1050

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1093550030
Entity Type
Individual
Last Name
Lyons
First Name
Cody
Middle Name
Constance
Mailing Street Address
2 Academy St Rm 201
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1050
Mailing Country
US
Practice Street Address
200 E 3Rd St Ste 5
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Enumeration Date
July 01, 2024
Last Updated
July 01, 2024
Sex
Male
Sole Proprietor
No
Certification Date
July 01, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)