Individual
ROBERT LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
280 ROWE ST, WHEELER, OR 97147
(503) 368-5171
Mailing address
16705 SOUTH POINT DR, NEHALEM, OR 97131
(503) 322-8465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07723
OR
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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