Individual
BEVERLY J. LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N SPRUCE ST, OGALLALA, NE 69153-3307
(308) 284-4068
Mailing address
18507 W KELLEY AVE, HERSHEY, NE 69143-4347
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
92
NE
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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