MEDICARE: DR. ALBERT LYON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	N8030	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00954990	OTHER	TX	RR MEDICARE
2	TXB124763	OTHER	TX	MEDICARE PTAN TXB124763
4	TXB124762	OTHER	TX	MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093994691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT LYON MD

Provider Business Mailing Address
First Line	:	2439 MONARCH DR UNIT 3
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6840
Country	:	US
Telephone Number	:	956-489-5050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2439 MONARCH DR
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6840
Country	:	US
Telephone Number	:	956-489-5050
Fax Number	:	956-252-2029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	06/15/2026

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Directions to “ DR. ALBERT LYON MD” Practice Location

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