# DR. RAY A. LYONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396720827
- **Gender:** Man
- **Credential:** DDS,FADPD, DABSCD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD1302 | NM | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 09/15/2010

## 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 |