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Contact Information

DR MICHAEL LYONS PROFFESSIONAL CORPORATION
1558 MONTEITH AVE
HERNANDO, MS38632-7685
 Phone: 662-449-3663
 Fax: 662-449-3676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for DR MICHAEL LYONS PROFFESSIONAL CORPORATION

NPI # 1265693857
LBN Legal business name DR MICHAEL LYONS PROFFESSIONAL CORPORATION
Authorized official MICHAEL LYONS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2008
Last updated 11/18/2011 - About 15 years ago
Identifiers
MS License # 80187
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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