Individual
SUSAN JEAN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 315, ROBBINSDALE, MN 55422-2948
(763) 587-7900
(763) 587-7989
Mailing address
3366 OAKDALE AVE N, SUITE 315, ROBBINSDALE, MN 55422-2948
(763) 587-7900
(763) 587-7989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24089
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156898100
—
MN
Enumeration date
07/03/2006
Last updated
06/18/2012
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