Individual
KEVIN ANTHONEY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 VIA PINTADA, RIVERSIDE, CA 92507-0201
(951) 206-9868
Mailing address
5225 CANYON CREST DR # 71-807, RIVERSIDE, CA 92507-6301
(951) 206-9868
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D2556166
CA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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