Individual
JOSHUA DAVID LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4461 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-7782
(928) 242-3093
(866) 728-7464
Mailing address
1000 N BEELINE HWY # 158, PAYSON, AZ 85541-4907
(509) 999-3556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2010-0015
NM PA LICENSE
NM
Enumeration date
08/05/2007
Last updated
09/18/2025
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