Organization
EDWARD P. LYONS M.D. APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELL H CHARLES (OFFICE MANAGER)
(337) 235-8381
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 301, LAFAYETTE, LA 70503-2636
(337) 235-8381
(337) 235-1010
Mailing address
1211 COOLIDGE BLVD, SUITE 301, LAFAYETTE, LA 70503-2636
(337) 235-8381
(337) 235-1010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD012304
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1157911
—
LA
01
—
1316962483
NPI INDIVIDUAL
LA
Enumeration date
07/07/2009
Last updated
07/07/2009
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