Individual
EDWARD J LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17195
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126696
MAMSI
MD
01
—
3584226
AETNA
MD
01
—
60850502
CAREFIRST MARYLAND
MD
01
—
7295156
AETNA
MD
01
—
T4730002
GHMSI
MD
Enumeration date
11/29/2006
Last updated
07/09/2007
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