# DR MICHAEL LYONS PROFFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265693857
- **Authorized official:** DR. MICHAEL LYONS PROFESSIONAL (OWNER)
- **Authorized official phone:** (901) 493-5530

## Contact information

- **Practice address:** 1558 MONTEITH AVE, HERNANDO, MS 38632-7685
- **Practice address phone:** (662) 449-3663
- **Practice address fax:** (662) 449-3676
- **Mailing address:** 1558 MONTEITH AVE, HERNANDO, MS 38632-7685
- **Mailing address phone:** (662) 449-3663
- **Mailing address fax:** (662) 449-3676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 80187 | MS | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 80187 | MS | — |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 11/18/2011