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Salon Lyon , Llc
Prosthetic/Orthotic Supplier in Conyers, Georgia
NPI 1558813295

Salon Lyon , Llc is a Prosthetic/Orthotic Supplier based in Conyers, GA. Salon Lyon , Llc practices in Conyers, GA. The NPI Number for Salon Lyon , Llc is 1558813295 and holds a License No. CO089141 (Georgia).

The current practice location address for Salon Lyon , Llc is 1112 West Ave, Se, Conyers, GA and can be reached out via phone at 770-648-6187. You can also correspond with Salon Lyon , Llc through the mailing address at 1112 WEST AVE. SE, CONYERS, GA - 30012 (mailing address contact number: 770-648-6187).

Location: 1112 West Ave, Se, Conyers, GA, 30012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558813295
Provider Name
Salon Lyon , Llc
Credential
Provider Entity Type
Organization
Address
1112 West Ave, Se, Conyers, GA, 30012
Phone Number
770-648-6187
Fax Number
Provider Enumeration Date
10/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO089141 01 GA CERTIFIED HAIR LOSS SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1112 West Ave, Se
City
Conyers
State
Georgia
Zip
30012
Phone Number
770-648-6187
Fax Number
person
Provider Business Mailing Address Details
Address
1112 West Ave. Se
City
Conyers
State
Georgia
Zip
30012
Phone Number
770-648-6187
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
CO089141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CO089141 (Georgia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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