Individual
DEMI KENDALL LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
539 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 948-3011
Mailing address
104 RENEL DR, BREAUX BRIDGE, LA 70517-6470
(337) 706-2994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
332062
LA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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