Individual
NATHAN LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 W CORNELL DR, TEMPE, AZ 85283-1759
(480) 897-6233
Mailing address
5838 S JUDD ST, TEMPE, AZ 85283-2716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041473
AZ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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