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Individual
DR. RICHARD THAD LYON
Active
Individual
DR. RICHARD THAD LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
038007551
IL
111NN0400X
Neurology Chiropractor
Primary
DCP00601
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04506397
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/09/2006
Last updated
07/10/2012
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