NPI | 1417270315 |
---|---|
Former Name | KAREN A. LYONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TX PA06621) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX PA06621) |
363AM0700X Physician Assistant Medical (Licence: TX PA06621) | |
Enumeration Date | 2010-03-05 |
Last Update Date | 2014-09-23 |