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Contact Information

ALFRED G LYONS, MD
970 LAKELAND DR
45
JACKSON, MS39216-4635
 Phone: 601-200-4690
 Fax: 601-200-4698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ALFRED G LYONS · (Male)

NPI Number 1932201423
Status Active
Credentials MD
Entity Individual
Enumeration date 09/04/2006
Last updated 10/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 10603
  • MS Medicaid 00115787
  • MS Other P01237614 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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