Individual
ANN LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
316 DUNLAWTON AVE, PORT ORANGE, FL 32127-4456
(386) 872-5757
Mailing address
3172 LA PALOMA AVE, DAYTONA BEACH, FL 32118-6210
(386) 212-2852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60378
FL
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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