Individual
DR. THOMAS R LYON
Active
Individual
DR. THOMAS R LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
201563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02095169
—
NY
01
—
0599173
GHI
NY
01
—
423G41
BLUE CROSS BLUE SHIELD
NY
01
—
P2114864
OXFORD
NY
Enumeration date
08/21/2006
Last updated
10/04/2021
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