Individual
MS. CAROLYN LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 N CHINA LAKE BLVD STE 190, RIDGECREST, CA 93555-3131
(760) 499-3855
(760) 499-3870
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3899
(760) 499-3870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8740
GA
Other
Enumeration date
05/02/2018
Last updated
04/19/2024
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