Organization · NPI-2

Brian T Lyman D C INC

Chiropractor · Providence, UT

NPI number1467637587
StatusActive
Last updated in NPPESDec 13, 2013

Details

NPI
1467637587
Entity type
Organization (NPI-2)
Legal business name
Brian T Lyman D C INC
Organization subpart
No
Enumeration date
Jan 8, 2008
Last updated
Dec 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor295371-1202UTYes

Practice location

585 W 100 N
Suite E
Providence, UT 84332-9876

Phone 435-750-6909

Mailing address

585 W 100 N
Suite E
Providence, UT 84332-9876

Phone 435-750-6909

Authorized official

Julia Ann Lyman
Office Manager
4357506909

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