National Provider Identifier
Susan Blake Lyons, PA
Susan Blake Lyons, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Le Roy, NY and a listed phone number of (585) 767-4220.
Profile Overview
- NPI
- 1487681243
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 27, 2006
- Last Updated
- September 23, 2011
Practice Location
- 3 Tountas Ave
- Suite 3
- Le Roy, NY 14482-1368
Phone: (585) 767-4220
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1487681243
- Entity Type
- Individual
- Last Name
- Lyons
- First Name
- Susan
- Middle Name
- Blake
- Name Prefix
- MS.
- Credential
- PA
- Mailing Street Address
- 3 Tountas Ave
- Mailing Address Line 2
- Suite 3
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1368
- Mailing Country
- US
- Mailing Phone
- (585) 767-4220
- Mailing Fax
- (585) 768-8165
- Practice Street Address
- 3 Tountas Ave
- Practice Address Line 2
- Suite 3
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-1368
- Practice Country
- US
- Practice Phone
- (585) 767-4220
- Practice Fax
- (585) 768-8165
- Enumeration Date
- June 27, 2006
- Last Updated
- September 23, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02395962 (NY)