Individual
ALISSA D LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1496
Mailing address
500 W. FORT ST., VA MEDICAL CENTER (B116), BOISE, ID 83702-4598
(208) 422-1000
(208) 422-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW25640
ID
Other
Enumeration date
03/31/2006
Last updated
10/04/2012
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