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NPI Code Detail

MEDICARE: DAVID P LYONS P.T.

MEDICARE:   DAVID P LYONS  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist267AK

General Provider Information

NPI Number : 1174842413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID P LYONS P.T.
Provider Business Mailing Address
First Line : PO BOX 241769
Second Line :
City : ANCHORAGE
State : AK
Zip : 99524-1769
Country : US
Telephone Number : 907-770-2380
Fax Number : 907-770-2341
Provider Business Practice Location Address
First Line : 1045 E KLATT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-3541
Country : US
Telephone Number : 907-770-2380
Fax Number : 907-770-2341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2010
Last Update Date : 05/26/2010

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Directions to “ DAVID P LYONS P.T.” Practice Location

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