Individual
MARY ELLEN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
YALE MEDICAL SCHOOL, 333 CEDAR ST, NEW HAVEN, CT 06510
(213) 713-5674
Mailing address
1630 ADAMS ST, MADISON, WI 53711-2140
(213) 713-5674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60501
CT
207P00000X
Emergency Medicine Physician
66793
WI
Other
Enumeration date
04/08/2015
Last updated
06/06/2018
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