| NPI | 1598890188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY W LYON Owner 702-293-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NV NV9807) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-10-12 |