Lyons, Derrick Geddes
Lyons, Derrick Geddes is an individual health care provider with primary practice located at 1642 E Adelaide Dr , Meridian ID 83642-9225. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lyons, Derrick Geddes can be contacted via phone (904) 540-8975.Contact Information
Primary practice address
1642 E Adelaide Dr
Meridian ID 83642-9225
Phone: (904) 540-8975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT - 2994 | Idaho |
Profile Details
| NPI number | 1508263757 |
|---|---|
| LBN Legal business name | Lyons, Derrick Geddes |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2014 |
| Last updated | Dec 3rd, 2014 - about 12 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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