MR. Lyle Mathues Dornon, LCADC
NPI #1124162797 in Susanville, California
Provider Information
- NPI Number
- 1124162797
- Entity Type
- Individual
- Name
- MR. Lyle Mathues Dornon, LCADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- LCADC
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1410 CHESTNUT ST
- City
- Susanville
- State
- California
- ZIP Code
- 96130-3719
- Phone
- (530) 251-8112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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