MEDICARE: MS. LORY A HAYON B.S., R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	921651	NV

General Provider Information

NPI Number	:	1992733075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORY A HAYON B.S., R.D.

Provider Business Mailing Address
First Line	:	8125 HAVEN HEIGHTS ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-2302
Country	:	US
Telephone Number	:	702-332-3677
Fax Number	:	702-989-4750

Provider Business Practice Location Address
First Line	:	8125 HAVEN HEIGHTS ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-2302
Country	:	US
Telephone Number	:	702-332-3677
Fax Number	:	702-989-4750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/13/2016

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