Nicholas F Lyons III, MMSPA-C
Nicholas F Lyons III, MMSPA-C is a Physician Assistant in Lake Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
1000 N Westmoreland RdLake Forest, IL 60045-1658
Phone: (847) 535-6150
Fax: (847) 535-7801
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085007869 (IL) |
|---|
Record details
| NPI number | 1699322602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MMSPA-C |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2019 |
| Last updated in NPPES | March 31, 2022 |
| Certification date | March 31, 2022 |
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