person
Mr. Lyle Mathues Dornon, LCADC
Specialist in Susanville, California
NPI 1124162797

Lyle Mathues Dornon is a Specialist based in Susanville, CA. Lyle Mathues Dornon practices in Susanville, CA and has the professional credentials of LCADC. The NPI Number for Lyle Mathues Dornon is 1124162797 and holds a License No. 331 (California).

The current practice location address for Lyle Mathues Dornon is 1410 Chestnut St, Susanville, CA and can be reached out via phone at 530-251-8112 and via fax at 530-251-5884.

Location: 1410 Chestnut St, Susanville, CA, 96130-5010
person
Provider Profile Details
NPI Number
1124162797
Provider Name
Lyle Mathues Dornon
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
1410 Chestnut St, Susanville, CA, 96130-5010
Phone Number
530-251-8112
Fax Number
530-251-5884
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1410 Chestnut St
City
State
Zip
96130-3719
Phone Number
530-251-8112
Fax Number
530-251-5884
person
Provider Business Mailing Address Details
Address
1410 Chestnut St
City
State
Zip
96130-3719
Phone Number
530-251-8112
Fax Number
530-251-5884
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
331 (Nevada)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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