Individual
DR. LYMON NICHOLAS ROAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(305) 293-4600
(305) 293-4564
Mailing address
PO BOX 421053, SUMMERLAND KEY, FL 33042-1053
(305) 849-1651
(305) 293-4564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC 3270
CERTIFIED OPTOMETRIST
FL
Enumeration date
01/23/2006
Last updated
07/08/2007
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