Provider Demographics
NPI:1861929341
Name:LYONS, ROSALIND LAFAYE
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:LAFAYE
Last Name:LYONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3718 1/2 DRAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-2325
Mailing Address - Country:US
Mailing Address - Phone:513-291-0105
Mailing Address - Fax:
Practice Address - Street 1:3718 1/2 DRAKE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-2325
Practice Address - Country:US
Practice Address - Phone:513-291-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide