Matthew Lyman
Individual provider Active NPI Other Technician · Blanding, UT
NPI 1346446465 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346446465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 356 S Main St
Blanding, UT 84511-3830 - Phone
- (435) 678-2992
- Fax
- (435) 678-3116
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Mental Health-Substance Abuse SSD | Past | Accepting new patients | |
| San Juan Mental Health-Substance Abuse Special Service District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
356 S Main St
Blanding, UT 84511-3830
Mailing address
356 S Main St
Blanding, UT 84511-3830
Phone (435) 678-2992
Other providers in Blanding, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.