Lyon, Charles Eliot

Lyon, Charles Eliot is an individual health care provider with primary practice located at 836 Olive St , Shreveport LA 71104-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Lyon, Charles Eliot can be contacted via phone (318) 222-8421.

Contact Information

Primary practice address
836 Olive St Shreveport LA 71104-2102
Phone: (318) 222-8421
Fax: (318) 222-0651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 016354 Louisiana
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X M2383 Texas

Profile Details

NPI number 1558380303
LBN Legal business name Lyon, Charles Eliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 7th, 2017 - about 8 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 1558380303 NPPES
Louisiana MEDICAID 1352543

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