Individual
DR. CAROL K LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 LAKE LANSING RD, STE 102, LANSING, MI 48912-3707
(517) 913-3810
(517) 913-3811
Mailing address
1540 LAKE LANSING RD, STE 102, LANSING, MI 48912-3707
(517) 913-3810
(517) 913-3811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407151
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001913
MCLAREN HEALTH PLAN-COMMERCIAL
MI
01
—
110205591
RAILROAD MEDICARE
MI
01
—
1103301731
BCBS/BCN
MI
01
—
200000002326
PHP
MI
01
—
4096061
AETNA
MI
05
—
4123751
—
MI
05
—
4848150
—
MI
01
—
M21440014
MEDICARE ADVANTAGE
MI
Enumeration date
05/24/2006
Last updated
10/08/2009
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