Provider Demographics
NPI:1205016342
Name:MURROW, LYLE A (DC)
Entity Type:Individual
Prefix:
First Name:LYLE
Middle Name:A
Last Name:MURROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3684 W ORANGE GROVE RD
Mailing Address - Street 2:#166
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741
Mailing Address - Country:US
Mailing Address - Phone:520-742-2244
Mailing Address - Fax:520-219-8410
Practice Address - Street 1:3684 W ORANGE GROVE RD
Practice Address - Street 2:#166
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-742-2244
Practice Address - Fax:520-219-8410
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor