Lyons, Dennis J

Lyons, Dennis J is an individual health care provider with primary practice located at 4247 Mac Arthur Blvd. , Oakland CA 94619-1907. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lyons, Dennis J can be contacted via phone (510) 530-0840.

Contact Information

Primary practice address
4247 Mac Arthur Blvd. Oakland CA 94619-1907
Phone: (510) 530-0840
Fax: (510) 530-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2283 California

Profile Details

NPI number 1154314011
LBN Legal business name Lyons, Dennis J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Apr 17th, 2008 - 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 1154314011 NPPES
California Other 5006060001 DME NORIDIAN
California MEDICAID 000E22830 DME NORIDIAN

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