MISS Angharad Supe Lyon, PA-C

NPI #1164596128 in Pocatello, Idaho

Provider Information

NPI Number
1164596128
Entity Type
Individual
Name
MISS Angharad Supe Lyon, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
PA-C
Enumeration Date
Nov 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
ISU STUDENT HEALTH CTR
Address 2
921 S. 8TH ST.
State
Idaho
ZIP Code
83209-0001
Phone
(208) 282-2330

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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