Organization
SALON LYON , LLC
Active
Other names
SALON LYON
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN LENETTE LYONS CHS (CERTIFIED HAIR LOSS SPECIALIST)
(770) 648-6187
Entity
Organization
Contact information
Practice address
1112 WEST AVE, SE, B, CONYERS, GA 30012
(770) 648-6187
Mailing address
1112 WEST AVE. SE, SUITE B, CONYERS, GA 30012
(770) 648-6187
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
CO089141
GA
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO089141
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO089141
CERTIFIED HAIR LOSS SPECIALIST
GA
Enumeration date
10/28/2016
Last updated
10/28/2016
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