MISS Angharad Supe Lyon, PA-C is a student in an organized health care education training program in Pocatello, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MISS Angharad Supe Lyon, PA-C NPI is 1164596128. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
ISU STUDENT HEALTH CTR
921 S. 8TH ST.
POCATELLO, ID
ZIP 83209-001
Phone: (208) 282-2330
Fax: (208) 282-4036
The NPI 1164596128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.