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Individual

CORINNE KATHLEEN LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
(203) 396-8109
Mailing address
1034 WESTOVER AVE, NORFOLK, VA 23507-1416
(757) 803-6821

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001259
CT

Other

Enumeration date
05/03/2019
Last updated
05/03/2019
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