Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 42977 | KY |
Y | 111NI0900X | Internist | 42977 | KY |
N | 207RH0002X | Hospice and Palliative Medicine | 42977 | KY |
NPI | 1255564290 |
---|---|
Provider Name | Dr. Christopher M Lyon |
First Address | Lexington, KY 40503-2925 |
Second Address | Lexington, KY 40503-2954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 17/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100092950 | (05) | KY |