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Individual

CAMERON D. LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
197 RIDGEDALE AVE FL 3, CEDAR KNOLLS, NJ 07927-2111
(973) 538-2334
(973) 267-6882
Mailing address
197 RIDGEDALE AVE FL 3, CEDAR KNOLLS, NJ 07927-2111
(973) 538-2334
(973) 267-6882

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-01888
NC
363AS0400X
Surgical Physician Assistant
0110004096
VA
363AS0400X
Surgical Physician Assistant
Primary
25MP00347700
NJ

Other

Enumeration date
08/06/2009
Last updated
04/04/2016
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