SearchIllinois101YP2500X

Roger Lyons, D.MIN., L.C.P.C

NPI 1326196783 · on the registry since 2007 · sole proprietor

Practice

Address
130 E Clark St
Specialists Clinic
Harrisburg, IL 62946
Phone
(618) 252-1722
Fax
(618) 252-1355
Organisation at this address
Axolotl, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois