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Individual
DR. JOHN H LYON
Active
Individual
DR. JOHN H LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036096443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096443
—
IL
01
—
201217
PTAN LOCALITY 15
IL
Enumeration date
09/24/2006
Last updated
04/05/2010
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