Provider Demographics
NPI:1619360286
Name:LEIGH LYONS, DANA (DOM, AP, LAC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:LEIGH LYONS
Suffix:
Gender:F
Credentials:DOM, AP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 10TH AVE N
Mailing Address - Street 2:SUITE 101W
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6606
Mailing Address - Country:US
Mailing Address - Phone:561-531-0937
Mailing Address - Fax:
Practice Address - Street 1:2560 S OCEAN BLVD
Practice Address - Street 2:APT 701
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5469
Practice Address - Country:US
Practice Address - Phone:561-531-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001837171100000X
MDU02001171100000X
FLAP3252171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist