Individual
DR. BRIAN THOMAS LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
585 W 100 N, STE E, PROVIDENCE, UT 84332-9876
(435) 750-6909
(435) 750-6909
Mailing address
585 W 100 N, STE E, PROVIDENCE, UT 84332-9876
(435) 750-6909
(435) 750-6909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
295371-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10034
ALTIUS HEALTH PLANS
—
01
—
39158
PEHP
UT
01
—
86070061777001
BLUE CROSS BLUE SHIELD
UT
01
—
870395551LY1
EMIA
UT
Enumeration date
10/18/2006
Last updated
01/14/2008
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