Lyon, Angharad Supe

Lyon, Angharad Supe is an individual health care provider with primary practice located at Isu Student Health Ctr 921 S. 8Th St., Pocatello ID 83209-0001. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Lyon, Angharad Supe can be contacted via phone (208) 282-2330.

Contact Information

Primary practice address
Isu Student Health Ctr 921 S. 8Th St. Pocatello ID 83209-0001
Phone: (208) 282-2330
Fax: (208) 282-4036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PA-365 Idaho

Profile Details

NPI number 1164596128
LBN Legal business name Lyon, Angharad Supe
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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