Lyon Medical LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

LYON MEDICAL LLC

Practice address

3080 E Gentry Way Ste 100
Meridian, ID 83642-3060

Phone

(208) 947-5390

Fax

(208) 947-3465

NPI assigned

Jun 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Lyon

Title

Co-Owner

Phone

(208) 251-0414

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1285014118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45179",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837115179",
            "telephone_number": "208-947-5390",
            "fax_number": "208-947-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 E GENTRY WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423060",
            "telephone_number": "208-947-5390",
            "fax_number": "208-947-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-251-0414"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lux Wellness LLC
• Lux Wellness LLC
• LW Care LLC
• Ashlyn Nicole Lynard, RN IBCLC
• Molly K. Lynn, NP
• Derrick Geddes Lyons, PT, DPT
• Robert A Lyons, MD
• Jennifer Lytle, FNP-C
• Paul Tyler Lytle, DMD
• Vanessa Macdonagh, CSFA

• Hospitalist Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Hospitalist Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.