Individual
THOMAS E LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0270
Mailing address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036098911
IL
207Q00000X
Family Medicine Physician
Primary
31912
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020203
IOWA HEALTH SOLUTIONS
—
01
—
072382
HEALTH ALLIANCE
—
05
—
2141317
—
IA
01
—
4796890008
DMERC
—
01
—
49770
WELLMARK BC/BS
—
01
—
IA0177
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/21/2005
Last updated
04/30/2021
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