Lyon, Wesley Warren

Lyon, Wesley Warren is an sole proprietor health care provider with primary practice located at 3150 N Tenaya Way Suite 215, Las Vegas NV 89128-0443. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Lyon, Wesley Warren can be contacted via phone (702) 586-4600.

Contact Information

Primary practice address
3150 N Tenaya Way Suite 215 Las Vegas NV 89128-0443
Phone: (702) 586-4600
Fax: (866) 409-1683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X NV9807 Nevada
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NV9807 Nevada

Profile Details

NPI number 1538145693
LBN Legal business name Lyon, Wesley Warren
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Nov 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538145693 NPPES
Nevada MEDICAID 002102008

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