Organization
LYON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYON (CO-OWNER)
(208) 251-0414
Entity
Organization
Contact information
Practice address
3080 E GENTRY WAY STE 100, MERIDIAN, ID 83642-3060
(208) 947-5390
(208) 947-3465
Mailing address
PO BOX 45179, BOISE, ID 83711-5179
(208) 947-5390
(208) 947-3465
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
01/11/2017
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