Provider Demographics
NPI:1689010803
Name:LYON-KRIEGER ASSOCIATES
Entity Type:Organization
Organization Name:LYON-KRIEGER ASSOCIATES
Other - Org Name:BEAST PUMPS 4 U
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-516-2339
Mailing Address - Street 1:PO BOX 260
Mailing Address - Street 2:
Mailing Address - City:CALPELLA
Mailing Address - State:CA
Mailing Address - Zip Code:95418-0260
Mailing Address - Country:US
Mailing Address - Phone:415-516-2339
Mailing Address - Fax:480-772-4850
Practice Address - Street 1:477 MONTEREY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-2413
Practice Address - Country:US
Practice Address - Phone:415-516-2339
Practice Address - Fax:480-772-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment