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Individual
DR. RAY A. LYONS
Active
Individual
DR. RAY A. LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,FADPD, DABSCD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1302
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004093
DORAL DENTAL
NM
01
—
0007343702
AETNA
NM
01
—
631452
UNITED CONCORDIA
NM
01
—
8808
DELTA DENTAL
NM
01
—
8942
BC/BS
NM
05
—
K8599
—
NM
01
—
S0014741010
HCH ADMINISTRATION
NM
Enumeration date
12/07/2005
Last updated
09/15/2010
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