Individual
ALICIA MARIE LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 LAKELAND DR, FAIRVIEW, PA 16415-1911
(814) 823-9181
Mailing address
2024 LAKELAND DR, FAIRVIEW, PA 16415
(814) 823-9181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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