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Individual

DR. MARK B LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3299 HILYARD ST, EUGENE, OR 97405-3721
(541) 342-3338
(541) 349-7129
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18168
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115985
OR
Enumeration date
03/08/2006
Last updated
03/10/2010
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