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NPI Code Detail

MEDICARE: DR. WARREN MARLOWE LYONS MD

MEDICARE:  DR. WARREN MARLOWE 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
1208D00000XGeneral Practice Physician152639NY

General Provider Information

NPI Number : 1548394026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WARREN MARLOWE LYONS MD
Provider Business Mailing Address
First Line : 437 MARYLAND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-5126
Country : US
Telephone Number : 718-448-6381
Fax Number :
Provider Business Practice Location Address
First Line : 8518 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4608
Country : US
Telephone Number : 718-748-5482
Fax Number : 718-748-3758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 11/21/2011

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Directions to “ DR. WARREN MARLOWE LYONS MD” Practice Location

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