Dale Anthony Lyons, IDC Valid NPI
Individual provider · Independent Duty Corpsman · Norfolk, VA
- NPI
- 1689706319
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-09
- Last updated
- 2014-02-06
Practice location
9168 2nd St Ste 200, Commander Submarine Squadron Six Medical
Norfolk, VA 23511-2323
(757) 967-6175