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General NPI Number Information
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NPI Number | 1740439108
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Entity Type | Organization
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Legal Business Name | LYONS HEALTH, LLC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 2920 S WEBSTER AVE SUITE 100
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City | GREEN BAY
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State | WI
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Zip | 54301-1594
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Country | US
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Telephone | 920-347-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 S WEBSTER AVE SUITE 100
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City | GREEN BAY
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State | WI
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Zip | 54301-1594
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Country | US
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Telephone | 920-347-4884
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL D LYONS
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Credential | D.C.
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Telephone | 920-347-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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