Individual
MACKENZIE LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 31ST ST, TEMPLE, TX 76504-2498
(254) 215-7084
Mailing address
7605 HICKMAN ST, TEMPLE, TX 76502-6098
(830) 431-1595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9412
TX
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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