Individual
MRS. MITZIE ANN LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
112 S BROADWAY ST, WALTERS, OK 73572-2033
(580) 875-3188
(580) 875-3229
Mailing address
112 S BROADWAY ST, WALTERS, OK 73572-2033
(580) 875-3188
(580) 875-3229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9074
OK
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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