Individual
DR. DEBORAH LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL, FT STEWART, GA 31314-5674
(912) 435-5965
Mailing address
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL, FT STEWART, GA 31314-5674
(912) 435-5965
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME72401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000665893C
—
GA
01
—
160030994
RAILROAD MEDICARE
FL
05
—
2501911-00
—
FL
05
—
31455
—
FL
Enumeration date
02/27/2006
Last updated
05/03/2016
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