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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