Malcom Lee Lyons

NPI #1396567954 in Lewiston, Idaho

Provider Information

NPI Number: 1396567954
Entity Type: Individual
Name: Malcom Lee Lyons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 25, 2024
Last Updated: Oct 25, 2024

Practice Location

Address: 1720 18TH AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-4047
Phone: (208) 746-4097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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