Individual
MRS. DIANA MAE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9020 S HIGHWAY 97, REDMOND, OR 97756-9666
(541) 420-6150
Mailing address
PO BOX 6882, BEND, OR 97708-6882
(541) 420-6150
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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