Organization
BRIAN T LYMAN D C INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ANN LYMAN (OFFICE MANAGER)
(435) 750-6909
Entity
Organization
Contact information
Practice address
585 W 100 N, SUITE E, PROVIDENCE, UT 84332-9876
(435) 750-6909
Mailing address
585 W 100 N, SUITE E, PROVIDENCE, UT 84332-9876
(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
UT
01
—
39158
PEHP
UT
01
—
86070061777001
BLUE CROSS BLUE SHIELD
UT
01
—
870395551LY1
EMIA
UT
Enumeration date
01/08/2008
Last updated
12/13/2013
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