NIKOLAS PORTER LYON

ROCHESTER, MN
NPI1790226280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14615)
Enumeration Date2017-03-16
Last Update Date2023-09-13
Business Address
NIKOLAS PORTER LYON PA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-554-2143
Mailing Address
NIKOLAS PORTER LYON PA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-554-2143