Individual
MS. CHARESSA LANETTE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
17610 FM 529 RD, HOUSTON, TX 77095-1004
(281) 463-5417
Mailing address
12700 FM 1960 RD W, #14104, HOUSTON, TX 77065-5340
(281) 463-5417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2904
TX
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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