# CHRISTOPHER LYON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lyon Eye Cosmetic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174723605
- **Authorized official:** CHRISTOPHER LYON MD (MANAGER)
- **Authorized official phone:** (949) 760-3003

## Contact information

- **Practice address:** 1401 AVOCADO AVE, SUITE 402, NEWPORT BEACH, CA 92660-7720
- **Practice address phone:** (949) 760-3003
- **Practice address fax:** (949) 760-0545
- **Mailing address:** 1401 AVOCADO AVE STE 401, NEWPORT BEACH, CA 92660-8726
- **Mailing address phone:** (949) 760-3003
- **Mailing address fax:** (949) 760-0545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A37277 | CA | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 06/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1649316753 | BLUE CROSS | — |
| 01 | — | B50346 | UPIN | — |