Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60453928 | WA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD60453928 | WA |
N | 208200000X | Surgeon | ML20009018 | WA |
N | 208600000X | Surgeon | ML20009018 | WA |
NPI | 1144429069 |
---|---|
Provider Name | Matthew Lawrence Lyons |
First Address | Bellevue, WA 98004-8578 |
Second Address | Bellevue, WA 98004-8578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 27/04/2021 |