MEDICARE: LYMAN ORTHOPEDICS PLC

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	207X00000X	Orthopaedic Surgery Physician	36020	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1174764344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYMAN ORTHOPEDICS PLC

Provider Business Mailing Address
First Line	:	PO BOX 54666
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85078-4666
Country	:	US
Telephone Number	:	480-203-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 N 44TH ST
Second Line	:	SUITE 100
City	:	PHOENIX
State	:	AZ
Zip	:	85018-6059
Country	:	US
Telephone Number	:	602-685-9500
Fax Number	:	602-685-9595

Authorized Official
Title or Position	:	ORTHOPEDIC SURGEON
Name	:	DR. JEFFREY ROBERT REES LYMAN
Credential	:	M.D.
Telephone Number	:	480-203-0425

Provider Enumeration Date	:	03/17/2009
Last Update Date	:	03/17/2009

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Directions to “LYMAN ORTHOPEDICS PLC ” Practice Location

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