Organization
DANNY LYONS, RPT-PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE CRAWFORD (OFFICE MANAGER)
(479) 495-6326
Entity
Organization
Contact information
Practice address
HIGHWAY 10 AT DETROIT, DANVILLE, AR 72833-0639
(479) 496-6326
(479) 495-3336
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT437
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C367
BLUE CROSS ID NUMBER
AR
Enumeration date
03/22/2007
Last updated
08/22/2020
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