Individual
DR. DOUGLAS LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MISSION ROAD, FORT HALL, ID 83203-0717
(208) 238-5456
(208) 238-5465
Mailing address
MISSION ROAD, FORT HALL, ID 83203-0717
(208) 238-5427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-328
ID
Other
Enumeration date
07/28/2006
Last updated
07/19/2007
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