Provider Demographics
NPI:1972899979
Name:LYON-PEAK, PATRICIA KATHLEEN (DVM)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KATHLEEN
Last Name:LYON-PEAK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 MINT LOOP
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9422
Mailing Address - Country:US
Mailing Address - Phone:509-619-2518
Mailing Address - Fax:
Practice Address - Street 1:1021 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-5534
Practice Address - Country:US
Practice Address - Phone:509-582-7211
Practice Address - Fax:509-586-3821
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00007385174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian