Lyon, Anthony G.

Lyon, Anthony G. is an individual health care provider with primary practice located at 1700 E Venice Ave , Venice FL 34292-3190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lyon, Anthony G. can be contacted via phone (941) 483-9760.

Contact Information

Primary practice address
1700 E Venice Ave Venice FL 34292-3190
Fax: (941) 483-9776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME81071 Florida

Profile Details

NPI number 1215921531
LBN Legal business name Lyon, Anthony G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215921531 NPPES
Florida Other P00165071 MEDICARE RR
Florida MEDICAID 263929700 MEDICARE RR
Florida Other 06125 MEDICARE RR

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