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JONATHAN LYONS
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1851923718
Individual Registrant: JONATHAN LYONS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
120 HAMMONDS RD WATAUGA, TN 37694-3061 US
Tel: 423-213-0495 Fax: --
Tel: 423-213-0495 Fax: --
Contact information for business:
120 HAMMONDS RD WATAUGA, TN 37694-3061 US
Tel: 423-213-0495 Fax: --
Tel: 423-213-0495 Fax: --
Registration Information:
NPI: 1851923718
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | TN | 27198 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
