Individual
GLENN P LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
96 COURT ST, PLATTSBURGH, NY 12901-2733
(518) 562-2369
(518) 562-2263
Mailing address
96 COURT ST, PLATTSBURGH, NY 12901-2733
(518) 562-2369
(518) 562-2263
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
009469
NY
363AM0700X
Medical Physician Assistant
Primary
009469
NY
Other
Enumeration date
10/01/2007
Last updated
12/27/2023
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