Individual
DR. TROY D B LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 CAMPUS BLVD, NEWTOWN SQUARE, PA 19073-3249
(484) 567-5147
Mailing address
15 CAMPUS BLVD, NEWTOWN SQUARE, PA 19073-3249
(484) 567-5147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD069278L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001776137
—
PA
01
—
321854
UPMC HEALTH PLAN
—
01
—
765756
BLUE SHIELD
—
01
—
7903528
AETNA
—
01
—
P005019
GATEWAY HEALTH PLAN
—
Enumeration date
06/15/2006
Last updated
10/25/2019
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