Individual
MR. DALE ANTHONY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
9168 2ND ST STE 200, COMMANDER SUBMARINE SQUADRON SIX MEDICAL, NORFOLK, VA 23511-2323
(757) 967-6175
(757) 967-6905
Mailing address
1900 FLAGLER CT, VIRGINIA BEACH, VA 23464-8935
(808) 783-9157
(757) 967-6905
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
02/06/2014
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