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Individual

JOHN CANNON LYONS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1663 MISSION ST STE 250, SAN FRANCISCO, CA 94103-2488
(415) 474-7310
Mailing address
1663 MISSION ST STE 250, SAN FRANCISCO, CA 94103-2488

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/30/2023
Last updated
06/02/2025
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