Individual
LAUREN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2375 E SUNNYSIDE RD STE G, IDAHO FALLS, ID 83404-8281
(208) 529-8232
Mailing address
2375 E SUNNYSIDE RD STE G, IDAHO FALLS, ID 83404-8281
(208) 529-8232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1108
ID
Other
Enumeration date
10/16/2013
Last updated
01/30/2017
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