Lyons, Alfred Gordon

Lyons, Alfred Gordon is an individual health care provider with primary practice located at 970 Lakeland Dr 45, Jackson MS 39216-4635. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Lyons, Alfred Gordon can be contacted via phone (601) 200-4690.

Contact Information

Primary practice address
970 Lakeland Dr 45 Jackson MS 39216-4635
Phone: (601) 200-4690
Fax: (601) 200-4698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10603 Mississippi
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 10603 Mississippi

Profile Details

NPI number 1932201423
LBN Legal business name Lyons, Alfred Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Oct 3rd, 2016 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932201423 NPPES
Mississippi Other P01237614 RAILROAD MEDICARE
Mississippi MEDICAID 00115787 RAILROAD MEDICARE

Popular Providers