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Individual

ALYSSA COLLEEN LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1332
(985) 230-1334

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.201761
LA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD.201761
LA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
MD.201761
LA
390200000X
Student in an Organized Health Care Education/Training Program
PGY.2.LSUN-EMED
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1505889
LA
Enumeration date
08/09/2007
Last updated
03/31/2026
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