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Contact Information

CARLTON L LYONS, MD
621 MEMORIAL DR STE 302
SOUTH BEND, IN46601-1073
 Phone: 574-367-3800
 Fax: 574-367-3801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CARLTON L LYONS · (Male)

NPI Number 1346294360
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 01/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01039264A
  • IN Medicaid 100336130
Hospital affiliation(s) Not Available
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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