Provider Demographics
NPI:1548081185
Name:LYONS, DEVON MATTHEW (DC)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:MATTHEW
Last Name:LYONS
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 1:8339 FISHERS ISLAND WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5873
Mailing Address - Country:US
Mailing Address - Phone:561-906-2125
Mailing Address - Fax:
Practice Address - Street 1:4800 W HILLSBORO BLVD STE A11
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4370
Practice Address - Country:US
Practice Address - Phone:954-481-2828
Practice Address - Fax:954-481-2830
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor