Individual
MRS. JUANITA MARIE LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
412 W 14TH AVE, HOLDREGE, NE 68949-1213
(308) 995-6585
Mailing address
PO BOX 858, HOLDREGE, NE 68949-0858
(308) 995-6585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
589
NE
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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