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Individual
CRAIG C LYON
Active
Individual
CRAIG C 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
52746
WI
207X00000X
Orthopaedic Surgery Physician
R7385
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LYONCRA
MERCYCARE INSURANCE
WI
01
—
P0072225CD3624
RR MEDICARE
WI
Enumeration date
05/22/2007
Last updated
09/29/2011
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