Shannon Marie Lyon

Pediatric Cardiology | Female

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Complete Profile:

Shannon Marie Lyon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Shannon Marie Lyon
Gender :	Female

Business Address:

Shannon Marie Lyon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	300 Longwood Ave Boston, MA, 02115-5724 United States
Phone Number :	617-355-6000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1952729329
NPI Entity Type :	Individual
First Enrolment Date :	02 Apr, 2014
Last Updated On :	12 Mar, 2021

Medicare Participation:

Shannon Marie Lyon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7911276936
Medicare Enrollment ID :	I20210428001349
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	2014
Accepts Medicare?	Yes. Shannon Marie Lyon accepts medicare insurance.

Group Practice Association:

Shannon Marie Lyon is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon Marie Lyon is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Boston Childrens Heart Foundation Inc	8729071675	76	300 Longwood Ave Boston, MA - 021155724 Ph: 6173556000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Marie Lyon are as mentioned. Primary taxonomy code for Shannon Marie Lyon is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0202X	Pediatrics Pediatric Cardiology	Yes	283517	MA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 Longwood Ave Boston, MA, 02115-5724 United States
Phone Number :	617-355-6000

Business Location:

Patients can refer following map for directions to Shannon Marie Lyon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.