Individual
ADAM WAALKES LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 ENTERPRISE DR, ANDERSON, IN 46013-9684
(800) 622-6575
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
(765) 284-4266
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01078585A
IN
207X00000X
Orthopaedic Surgery Physician
4301098704
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301098704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003305
—
IN
Enumeration date
06/01/2011
Last updated
12/11/2025
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