Healthcare Provider Details

I. General information

NPI: 1346233657
Provider Name (Legal Business Name): FRANK C LYONS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4809 VUE DU LOC SUITE 101
MANHATTAN KS
66503
US

IV. Provider business mailing address

4809 VUE DU LOC SUITE 101
MANHATTAN KS
66503
US

V. Phone/Fax

Practice location:
  • Phone: 785-320-4700
  • Fax: 785-320-4704
Mailing address:
  • Phone: 785-320-4700
  • Fax: 785-320-4704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number0415984
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: