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Organization

DR. MICHAEL LYONS PC

Active
Other names
Dr. Michael Lyons PC
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LYONS (OWNER)
(662) 449-3663
Entity
Organization

Contact information

Practice address
1558 MONTEITH AVE, HERNANDO, MS 38632-7685
(662) 449-3663
(662) 449-3676
Mailing address
1558 MONTEITH AVE, HERNANDO, MS 38632-7685
(662) 449-3663
(662) 449-3676

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14296
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2151139
PK
Enumeration date
04/08/2015
Last updated
10/12/2015
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