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Individual

COLLEEN CARALYN LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1330 WATERLOO LN # 101, GARDNERVILLE, NV 89410-5587
(775) 782-8265
(775) 783-4487
Mailing address
1330 WATERLOO LN # 101, GARDNERVILLE, NV 89410-5587
(775) 782-8265
(775) 783-4487

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5698
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002013132
NV
05
003113132
NV
01
5694
NV LICENSE #
NV
01
G63394
CA MEDICAL LICENSE #
CA
Enumeration date
08/29/2006
Last updated
02/20/2016
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