Organization
DR MICHAEL LYONS PROFFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LYONS PROFESSIONAL (OWNER)
(901) 493-5530
Entity
Organization
Contact information
Practice address
1558 MONTEITH AVE, HERNANDO, MS 38632-7685
(662) 449-3663
(662) 449-3676
Mailing address
1558 MONTEITH AVE, HERNANDO, MS 38632-7685
(662) 449-3663
(662) 449-3676
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
80187
MS
332B00000X
Durable Medical Equipment & Medical Supplies
80187
MS
Other
Enumeration date
06/17/2008
Last updated
11/18/2011
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