Individual
ALFRED GORDON LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10603
MS
208VP0014X
Interventional Pain Medicine Physician
Primary
10603
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115787
—
MS
01
—
P01237614
RAILROAD MEDICARE
MS
Enumeration date
09/04/2006
Last updated
10/03/2016
Update your record
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