Organization
LYONS ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY W LYONS CRNA (PRESIDENT)
(419) 232-2866
Entity
Organization
Contact information
Practice address
140 FOX RD, SUITE 207, VAN WERT, OH 45891-2475
(419) 232-2866
(419) 232-2867
Mailing address
140 FOX RD, SUITE 207, VAN WERT, OH 45891-2475
(419) 232-2866
(419) 232-2867
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN271691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373810
ANTHEM BC/BS
OH
05
—
2495250
—
OH
01
—
DD6497
MEDICARE RAILROAD CORP
OH
Enumeration date
07/29/2006
Last updated
08/22/2020
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