Individual
MR. MICHAEL H LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 824-9411
Mailing address
P.O. BOX 1280, CRAIG, CO 81625-3228
(970) 824-8335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
66432
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07664329
—
CO
Enumeration date
09/14/2006
Last updated
01/28/2011
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