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NPI Code Detail

MEDICARE: DR. ROBERT DAVID LYONS DDS

MEDICARE:  DR. ROBERT DAVID LYONS  DDS
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
11223G0001XGeneral Practice DentistryD24393CA

General Provider Information

NPI Number : 1548267867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DAVID LYONS DDS
Provider Business Mailing Address
First Line : 2521 STOCKTON BLVD
Second Line : DENTAL CLINIC, GLASSROCK BUILDING
City : SACRAMENTO
State : CA
Zip : 95817-2207
Country : US
Telephone Number : 916-734-5408
Fax Number : 916-734-1299
Provider Business Practice Location Address
First Line : 2521 STOCKTON BLVD
Second Line : DENTAL CLINIC, GLASSROCK BUILDING
City : SACRAMENTO
State : CA
Zip : 95817-2207
Country : US
Telephone Number : 916-734-5408
Fax Number : 916-734-1299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT DAVID LYONS DDS” Practice Location

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