MEDICARE: DR. CAROL K LYON M.D.

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	207R00000X	Internal Medicine Physician	4301407151	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	M21440014	OTHER	MI	MEDICARE ADVANTAGE
10	110205591	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	200000002326	OTHER	MI	PHP
4	1001913	OTHER	MI	MCLAREN HEALTH PLAN-COMMERCIAL
5	200000002326	OTHER	MI	PHP FAMILYCARE
6	4096061	OTHER	MI	AETNA
7	1001913	OTHER	MI	MCLAREN HEALTH ADVANTAGE
8	1103301731	OTHER	MI	BCBS/BCN
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982659090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL K LYON M.D.

Provider Business Mailing Address
First Line	:	1540 LAKE LANSING RD
Second Line	:	STE 102
City	:	LANSING
State	:	MI
Zip	:	48912-3707
Country	:	US
Telephone Number	:	517-913-3810
Fax Number	:	517-913-3811

Provider Business Practice Location Address
First Line	:	1540 LAKE LANSING RD
Second Line	:	STE 102
City	:	LANSING
State	:	MI
Zip	:	48912-3707
Country	:	US
Telephone Number	:	517-913-3810
Fax Number	:	517-913-3811

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	10/08/2009

Similar Medicare Providers

1235085051 — INDIVIDUALIZED QUALITY THERAPY LLC
Practice Location Address:

1568 LAKE LANSING RD
LANSING, MI
48912-3707

Practice Phone: 517-798-3677
Practice Fax:

1437100617 — KNIGHT DRUGS-LANSING INC
Practice Location Address:

1540 LAKE LANSING RD
LANSING, MI
48912-3707

Practice Phone: 517-485-9633
Practice Fax: 517-485-9634

1790737542 — DR. MICHAEL J. CARELLA M.D.
Practice Location Address:

1540 LAKE LANSING RD , STE 201
LANSING, MI
48912-3707

Practice Phone: 517-913-3900
Practice Fax: 517-913-3901

1093767816 — DR. EDMOND J. DUCOMMUN M.D.
Practice Location Address:

1540 LAKE LANSING RD , STE 101
LANSING, MI
48912-3707

Practice Phone: 517-913-3810
Practice Fax: 517-913-3811

1326080458 — DR. BRADLEY F ROPP M.D.
Practice Location Address:

1540 LAKE LANSING RD , STE 201
LANSING, MI
48912-3707

Practice Phone: 517-913-3900
Practice Fax: 517-913-3901

1639430325 — LAKE LANSING FAMILY PRACTICE, PLLC
Practice Location Address:

1568 LAKE LANSING RD
LANSING, MI
48912-3707

Practice Phone: 517-913-3980
Practice Fax: 517-913-3981

Directions to “ DR. CAROL K LYON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.