Individual
DEANNA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 496-4700
Mailing address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3178
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38888300
—
WI
Enumeration date
11/01/2006
Last updated
03/11/2013
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