Individual
CHARLES MONROE LYON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(505) 556-6855
Mailing address
1900 N OREGON ST, SUITE 400, EL PASO, TX 79902-3351
(915) 533-8118
(915) 533-9669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
98325
NM
208600000X
Surgery Physician
D7623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W6043
—
NM
Enumeration date
08/31/2005
Last updated
07/08/2007
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