Individual
JUSTIN A LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6101 PINE RIDGE RD STE 101, NAPLES, FL 34119-3900
Mailing address
3451 PINE RIDGE RD BLDG 601, NAPLES, FL 34109-3922
(239) 449-3072
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106192
FL
Other
Enumeration date
10/07/2011
Last updated
10/07/2022
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