Individual
KELLY LEA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
19059 BEAR VALLEY RD, APPLE VALLEY, CA 92308-2716
(760) 515-5000
(760) 240-3848
Mailing address
19059 BEAR VALLEY RD, APPLE VALLEY, CA 92308-2716
(760) 515-5000
(760) 240-3848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17303
CA
Other
Enumeration date
11/08/2012
Last updated
11/23/2016
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