Individual provider · Type 1 NPI

Traci M. Lyons, PA-C

Surgical Physician Assistant · Carmel, IN

NPI number 1720416985 Active

Practice location

14535A Hazel Dell Pkwy
Carmel, IN 46033-9401

Fax (317) 705-4391

Mailing address

16086 Tenor Way
Noblesville, IN 46060-9287

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10001601A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1720416985

Traci M. Lyons, PA-C's National Provider Identifier is 1720416985, issued on Oct 28, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Carmel, IN. The record was last updated on Mar 30, 2021.