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Individual

DENNIS J LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4247 MAC ARTHUR BLVD., OAKLAND, CA 94619-1907
(510) 530-0840
(510) 530-0873
Mailing address
PO BOX 19183, OAKLAND, CA 94619-0183
(510) 530-0840
(510) 530-0873

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2283
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E22830
CA
01
5006060001
DME NORIDIAN
CA
Enumeration date
08/25/2005
Last updated
04/17/2008
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