Individual
MARK LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036116228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232706
BCBS
—
05
—
036116228
—
IL
01
—
211475
MEDICAN PTAN
—
01
—
DG0826
MEDICARE RAILROAD GROUP NUMBER
—
01
—
P00467991
MEDICARE RAILROAD PTAN
—
Enumeration date
05/24/2007
Last updated
04/16/2025
Update your record
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