Individual
DR. ANTHONY G. LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E VENICE AVE, VENICE, FL 34292-3190
(941) 483-9760
(941) 483-9776
Mailing address
PO BOX 2178, VENICE, FL 34284-2178
(941) 483-9760
(941) 486-9776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME81071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06125
BCBS
FL
05
—
263929700
—
FL
01
—
P00165071
MEDICARE RR
FL
Enumeration date
09/01/2005
Last updated
07/13/2007
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