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Individual

JOHN P LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
600 S RANCHO DR, SUITE 103, LAS VEGAS, NV 89106-4867
(702) 794-0300
(702) 832-5930
Mailing address
8705 RED BROOK DR UNIT 103, LAS VEGAS, NV 89128-8444
(702) 644-3398
(702) 832-5930

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1827
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504120
NV
01
11487010
CAQH
NV
05
1659318749
NV
Enumeration date
05/31/2006
Last updated
01/18/2016
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