Individual
MICHAEL LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1300 17TH AVE N, FARGO, ND 58102
(701) 231-6378
Mailing address
4365 15TH AVE S APT 309, FARGO, ND 58103-3588
(605) 222-8601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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