Individual
JO ANN E LYON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L P N
Contact information
Practice address
7501 Y INN RD, STURGEON BAY, WI 54235-8716
(920) 743-2395
Mailing address
7501 Y INN RD, STURGEON BAY, WI 54235-8716
(920) 743-2395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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