Lyon, Charles Monroe

Lyon, Charles Monroe is an individual health care provider with primary practice located at 4311 E Lohman Ave , Las Cruces NM 88011-8255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lyon, Charles Monroe can be contacted via phone (505) 556-6855.

Contact Information

Primary practice address
4311 E Lohman Ave Las Cruces NM 88011-8255
Phone: (505) 556-6855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D7623 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 98325 New Mexico

Profile Details

NPI number 1184618555
LBN Legal business name Lyon, Charles Monroe
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1184618555 NPPES
New Mexico MEDICAID W6043

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