Individual
CODY CONSTANCE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E 3RD ST STE 5, JAMESTOWN, NY 14701-5433
(716) 661-8330
Mailing address
2 ACADEMY ST RM 201, MAYVILLE, NY 14757-1050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339680
NY
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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