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Individual

CHARLES R LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
309 ECORSE RD, YPSILANTI, MI 48198-5733
(734) 484-0580
(734) 484-6410
Mailing address
309 ECORSE RD, YPSILANTI, MI 48198-5733
(734) 484-0580
(734) 484-6410

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101005487
MI

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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