Kent J. Lyon MD

NPI 1063476364 - Internal Medicine - 207RE0101X

NPI Details
NPI 1063476364
Gender Male
Enumeration Date 04/13/2006
Last Updated 02/22/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
350 N CLYDE MORRIS BLVD
DAYTONA BEACH FL, 32114-2733, US
Phone (386) 238-3200
Fax (386) 238-3216
Business Location
PO BOX 9671
DAYTONA BEACH FL, 32120-9671, US
Phone (386) 676-7130
Fax (386) 676-7125
Toxanomy
Taxonomy Code 207RE0101X
License State Florida
License Number ME122457
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According to our database, Kent J. Lyon MD NPI is 1063476364, taxonomy code is 207RE0101X and license number is ME122457, license state is located at Florida. Kent J. Lyon MD physically located at 350 N Clyde Morris Blvd, Daytona Beach FL, 32114-2733. NPI Number Kent J. Lyon MD has the Individual type.

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1063476364 NPI number is provided on an as is basis without warranty of any kind. 1063476364 is maintained by the National Plan & Provider Enumeration System. The contents of Kent J. Lyon MD are for informational purposes only.