Individual
BENJAMIN FRANKLIN LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
27099 MATHESON AVE APT 102, BONITA SPRINGS, FL 34135-3901
(330) 285-0180
Mailing address
12538 WESTHAVEN WAY, FORT MYERS, FL 33913-8784
(330) 285-0180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4414
FL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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