Provider Demographics
NPI:1992733075
Name:HAYON, LORY A (BS, RD)
Entity type:Individual
Prefix:MS
First Name:LORY
Middle Name:A
Last Name:HAYON
Suffix:
Gender:F
Credentials:BS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8125 HAVEN HEIGHTS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89085-2302
Mailing Address - Country:US
Mailing Address - Phone:702-332-3677
Mailing Address - Fax:702-989-4750
Practice Address - Street 1:8125 HAVEN HEIGHTS ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89085-2302
Practice Address - Country:US
Practice Address - Phone:702-332-3677
Practice Address - Fax:702-989-4750
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV921651133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered