Lyon, Caitlin M

Lyon, Caitlin M is an individual health care provider with primary practice located at 1420 N Highway 33 Ste 106 , Driggs ID 83422-5313. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lyon, Caitlin M can be contacted via phone (208) 240-2820.

Contact Information

Primary practice address
1420 N Highway 33 Ste 106 Driggs ID 83422-5313
Phone: (208) 240-2820
Fax: (208) 656-5647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT-1526 Idaho

Profile Details

NPI number 1982189569
LBN Legal business name Lyon, Caitlin M
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2018
Last updated Nov 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982189569 NPPES
Idaho MEDICAID IDTPID012938

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