Individual
KENT J. LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SUNSET DR STE 601, ATHENS, GA 30606-7720
(706) 549-4155
(706) 546-0036
Mailing address
700 SUNSET DR STE 601, ATHENS, GA 30606-7720
(706) 549-4155
(706) 546-0036
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
83749
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014539800
—
FL
01
—
10033
BCBS
FL
01
—
1063476364
TRICARE
FL
Enumeration date
04/13/2006
Last updated
06/22/2022
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