Individual
KELLY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
9205 W CENTER ST STE 209, MILWAUKEE, WI 53222-4548
(414) 737-6000
Mailing address
20515 MILTON CT, BROOKFIELD, WI 53045-4050
(414) 737-6000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
991-55
WI
Other
Enumeration date
08/02/2020
Last updated
09/29/2021
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