Individual
DR. KENNETH ANTHONY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 752-0654
(641) 844-2206
Mailing address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 752-0654
(641) 753-8146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21610
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182220
—
IA
Enumeration date
10/24/2005
Last updated
08/21/2014
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