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Individual

DR. STEPHANIE LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
1957 THOMPSON RD STE H, COOS BAY, OR 97420-2040
(303) 564-5623
Mailing address
P.O. BOX 1124, BANDON, OR 97411-9743
(303) 564-5623

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC180198
OR
183500000X
Pharmacist
15587
OR

Other

Enumeration date
12/12/2016
Last updated
03/17/2018
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