Individual
LYLE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
839 N EISENHOWER DR, JUNCTION CITY, KS 66441-2017
(785) 762-3700
(785) 762-3704
Mailing address
1805 S. OHIO ST., SALINA, KS 67402-2117
(785) 825-6224
(785) 827-7895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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