Individual
CHRISTOPHER LYVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 IVY LN, TRUMBULL, CT 06611-4628
(203) 365-4704
Mailing address
5151 PARK AVE, FAIRFIELD, CT 06825-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001134
CT
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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