# EDWARD P. LYONS M.D. APMC

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

## Provider details

- **NPI number:** 1497984801
- **Authorized official:** SHANTELL H CHARLES (OFFICE MANAGER)
- **Authorized official phone:** (337) 235-8381

## Contact information

- **Practice address:** 1211 COOLIDGE BLVD, SUITE 301, LAFAYETTE, LA 70503-2636
- **Practice address phone:** (337) 235-8381
- **Practice address fax:** (337) 235-1010
- **Mailing address:** 1211 COOLIDGE BLVD, SUITE 301, LAFAYETTE, LA 70503-2636
- **Mailing address phone:** (337) 235-8381
- **Mailing address fax:** (337) 235-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD012304 | LA | Yes |

## Other

- **Enumeration date:** 07/07/2009
- **Last updated:** 07/07/2009