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General NPI Number Information
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NPI Number | 1548081185
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Entity Type | Individual
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Provider Name | DEVON MATTHEW LYONS DC
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Gender | Male
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 4800 W HILLSBORO BLVD STE A11
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4370
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Country | US
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Telephone | 954-481-2828
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Fax | 954-481-2830
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Provider Business Mailing Address
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Address Line | 8339 FISHERS ISLAND WAY
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City | BOCA RATON
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State | FL
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Zip | 33434-5873
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Country | US
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Telephone | 561-906-2125
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15236
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License Number State | FL
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