Kellie Lyons

NPI #1992595789 in Saint Louis Park, Minnesota

Provider Information

NPI Number: 1992595789
Entity Type: Individual
Name: Kellie Lyons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 7, 2025
Last Updated: May 7, 2025

Practice Location

Address: 2350 RIDGE DR APT 201
City: Saint Louis Park
State: Minnesota
ZIP Code: 55416-5652
Phone: (763) 213-9793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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