Provider Demographics
NPI:1053546812
Name:LYON, DEBRA EPPS (FNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:EPPS
Last Name:LYON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 S LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-6235
Mailing Address - Country:US
Mailing Address - Phone:804-895-0055
Mailing Address - Fax:
Practice Address - Street 1:508 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-6235
Practice Address - Country:US
Practice Address - Phone:804-895-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024093520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily