Individual
KELLY LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1442 ETHAN WAY, SUITE 200, SACRAMENTO, CA 95825-2231
(916) 482-4856
Mailing address
1442 ETHAN WAY, SUITE 200, SACRAMENTO, CA 95825-2231
(916) 482-4856
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
835719
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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