Individual
NIKOLAS PORTER LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 554-2143
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 554-2143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14615
MN
Other
Enumeration date
03/16/2017
Last updated
09/13/2023
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