Individual
MRS. LHYRA DAWIS MAYORALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
2734 PAINTED DESERT RUN, FORT WAYNE, IN 46808-3560
(317) 656-9654
(317) 656-9654
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
05009021A
IN
Other
Enumeration date
03/15/2007
Last updated
02/19/2012
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