Individual
BETHANY ANN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
(765) 448-8262
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
K9114
TX
207P00000X
Emergency Medicine Physician
057627
FL
207P00000X
Emergency Medicine Physician
34008945
OH
207P00000X
Emergency Medicine Physician
4123
AZ
207P00000X
Emergency Medicine Physician
K9114
TX
207Q00000X
Family Medicine Physician
Primary
K9114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025583
—
IN
Enumeration date
08/13/2006
Last updated
01/25/2021
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