Individual
JACOB ANDERSON LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-6580
(205) 975-6618
Mailing address
703 19TH ST S # ZRB721, BIRMINGHAM, AL 35233-1926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.2560
AL
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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