Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD038141E | PA |
NPI | 1093718017 |
---|---|
Provider Name | Dr. Christopher Joseph Lyons |
First Address | Exton, PA 19341-2580 |
Second Address | Exton, PA 19341-2580 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 26/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E67814 | (02) | PA |