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General NPI Number Information
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NPI Number | 1093994691
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Entity Type | Individual
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Provider Name | ALBERT LYON MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 2439 MONARCH DR
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City | LAREDO
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State | TX
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Zip | 78045-6840
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Country | US
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Telephone | 956-489-5050
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Fax | 956-252-2029
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Provider Business Mailing Address
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Address Line | 2439 MONARCH DR UNIT 3
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City | LAREDO
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State | TX
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Zip | 78045-6840
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Country | US
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Telephone | 956-489-5050
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N8030
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License Number State | TX
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