Individual
JESSE THOMAS LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3489 S MERCY RD STE 101, GILBERT, AZ 85297-0431
(480) 981-8088
Mailing address
4197 S LAS VILLA WAY, GOLD CANYON, AZ 85118-1955
(480) 516-1185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
03/18/2021
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