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NPI Code Detail

MEDICARE: THOMAS H LYON MD

MEDICARE:   THOMAS H 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
1207Q00000XFamily Medicine Physician31043AZ

Other Identifiers

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

General Provider Information

NPI Number : 1285614677
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS H LYON MD
Provider Business Mailing Address
First Line : 6811 E SUPERSTITION SPRINGS BLVD
Second Line :
City : MESA
State : AZ
Zip : 85209-4001
Country : US
Telephone Number : 480-641-4000
Fax Number :
Provider Business Practice Location Address
First Line : 6811 E SUPERSTITION SPRINGS BLVD
Second Line :
City : MESA
State : AZ
Zip : 85209-4001
Country : US
Telephone Number : 480-641-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS H LYON MD” Practice Location

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