SearchIdaho225100000X

Derrick Lyons, PT, DPT

NPI 1508263757 · on the registry since 2014

Practice

Address
1642 E Adelaide Dr
Meridian, ID 83642
Phone
(904) 540-8975

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho