| NPI | 1992085682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY W LYON Owner 702-397-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 9807) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-11-03 |