Bruce Lyman

NPI #1518206630 in Cody, Wyoming

Provider Information

NPI Number: 1518206630
Entity Type: Organization
Organization Name: Bruce Lyman
Primary Specialty: Community Health Worker
Enumeration Date: Feb 8, 2013
Last Updated: Feb 8, 2013

Practice Location

Address: 15 SCHNEIDER RD
City: Cody
State: Wyoming
ZIP Code: 82414-9232
Phone: (307) 250-5386

Authorized Official

Name: MR. BRUCE W. LYMAN
Title: RESPITE CARE AIDE
Phone: (307) 250-5386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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