MEDICARE: STEVEN T LYONS 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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	ME78526	FL
2	207X00000X	Orthopaedic Surgery Physician	ME78526	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	200037658	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46893	OTHER	FL	BCBS OF FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5226471	OTHER	FL	CIGNA
5	263154	OTHER	FL	AVMED
6	7705066	OTHER	FL	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275530479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN T LYONS MD

Provider Business Mailing Address
First Line	:	13020 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0925
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-558-6151

Provider Business Practice Location Address
First Line	:	909 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1251
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-558-6151

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/26/2017

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Directions to “ STEVEN T LYONS MD” Practice Location

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