Provider Demographics
NPI:1770955171
Name:LYONS, DANIEL PATRICK (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PATRICK
Last Name:LYONS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1250
Mailing Address - Country:US
Mailing Address - Phone:530-345-1363
Mailing Address - Fax:530-345-2186
Practice Address - Street 1:801 EAST AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1250
Practice Address - Country:US
Practice Address - Phone:530-345-1363
Practice Address - Fax:530-345-2186
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-24
Last Update Date:2015-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist