Individual
JULIE DIANA LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4100
(208) 381-1665
Mailing address
14820 E 4TH AVE, SULLIVAN PARK CARE CENTER, SPOKANE VALLEY, WA 99216-2165
(509) 922-1644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7622
ID
208M00000X
Hospitalist Physician
M7622
ID
Other
Enumeration date
05/16/2006
Last updated
02/24/2020
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