Individual
NANCY LYNN STEVENSON-LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
209 VETERANS AVE., NEWPORT, VT 05855
(802) 334-7921
(802) 334-1618
Mailing address
140 VALLEY RD, DERBY LINE, VT 05830-8934
(802) 895-4379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000011
VT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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