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1366774234
LANCE BRADFORD LYONS
BRADENTON, FL
NPI
1366774234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9105357)
Enumeration Date
2010-02-03
Last Update Date
2013-07-23
Business Address
LANCE BRADFORD LYONS PA-C
2020 59TH ST W
BRADENTON, FL 34209-4604
Phone number: 941-792-6611
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Mailing Address
LANCE BRADFORD LYONS PA-C
401 79TH AVE NE
ST PETERSBURG, FL 33702-4427
Phone number: 727-647-8259
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