Provider Demographics
NPI:1053438713
Name:LYONS, LILLIAN CARMINA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:CARMINA
Last Name:LYONS
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:2257 N LOOP 336 W
Mailing Address - Street 2:STE. 140 PMB 1123
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304
Mailing Address - Country:US
Mailing Address - Phone:832-494-7007
Mailing Address - Fax:936-231-8943
Practice Address - Street 1:333 CLAY ST.
Practice Address - Street 2:STE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002
Practice Address - Country:US
Practice Address - Phone:713-658-9591
Practice Address - Fax:936-231-8943
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX231381223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics