MEDICARE: VAL O. LYONS, M.D., P.C.

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1902564404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAL O. LYONS, M.D., P.C.

Provider Business Mailing Address
First Line	:	801 13TH STREET
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-3443
Country	:	US
Telephone Number	:	641-228-1143
Fax Number	:	641-228-7621

Provider Business Practice Location Address
First Line	:	801 13TH STREET
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-3443
Country	:	US
Telephone Number	:	641-228-1143
Fax Number	:	641-228-7621

Authorized Official
Title or Position	:	PRESIDENT/SURGEON
Name	:	VAL OWEN LYONS
Credential	:	M.D.
Telephone Number	:	641-228-1143

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	12/01/2021

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