Individual
CRAIG C LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52746
WI
207X00000X
Orthopaedic Surgery Physician
R7385
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LYONCRA
MERCYCARE INSURANCE
WI
01
—
P0072225CD3624
RR MEDICARE
WI
Enumeration date
05/22/2007
Last updated
09/29/2011
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