Individual
DR. MICHAEL GEORGE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1558 MONTEITH AVE, HERNANDO, MS 38632-7685
(662) 449-3663
(662) 449-3676
Mailing address
1558 MONTEITH AVE, HERNANDO, MS 38632-7685
(662) 449-3663
(662) 449-3676
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80187
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353580
—
MS
01
—
861168679
TAX ID
MS
Enumeration date
06/15/2006
Last updated
11/18/2011
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