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Individual

WESLEY WARREN LYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3150 N TENAYA WAY, SUITE 215, LAS VEGAS, NV 89128-0443
(702) 586-4600
(866) 409-1683
Mailing address
PO BOX 1344, OVERTON, NV 89040-1344
(702) 293-5036
(866) 409-1683

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
NV9807
NV
213ES0131X
Foot Surgery Podiatrist
NV9807
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002102008
NV
Enumeration date
12/21/2005
Last updated
11/17/2011
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