Individual
DR. JOHN W LYZANCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 N 39TH AVE, YAKIMA, WA 98902-6348
(509) 249-1288
(509) 249-6249
Mailing address
611 N 39TH AVE, YAKIMA, WA 98902
(509) 249-1288
(509) 249-6249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041706
—
WA
Enumeration date
08/09/2006
Last updated
07/23/2013
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