Individual
DR. JAMES C LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1876 RADIUS DR, HOLLYWOOD, FL 33020-7701
(954) 364-7626
Mailing address
PO BOX 221005, HOLLYWOOD, FL 33022-1005
(954) 364-7626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17884
FL
1223P0300X
Periodontics
019022444
IL
1223P0300X
Periodontics
DN17884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000574500
—
FL
Enumeration date
05/11/2006
Last updated
11/10/2014
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