Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME78526 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME78526 | FL |
NPI | 1275530479 |
---|---|
Provider Name | Steven T Lyons |
First Address | Temple Terrace, FL 33637-0925 |
Second Address | Tampa, FL 33609-1251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 26/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200037658 | RAILROAD MEDICARE (01) | FL |
257011400 | (05) | FL |
263154 | AVMED (01) | FL |
46893 | BCBS OF FL (01) | FL |
5226471 | CIGNA (01) | FL |
7705066 | AETNA (01) | FL |
G83133 | (02) | FL |