Individual
WESLEY CORLISS LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6200
Mailing address
725 BROOK RIDGE AVE, NORTH LIBERTY, IA 52317-8086
(319) 361-7259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
099516
IA
Other
Enumeration date
01/14/2020
Last updated
12/03/2020
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