Lyons, Jesse Tyler

Lyons, Jesse Tyler is an individual health care provider with primary practice located at 4530 Saint Johns Ave Ste 13 , Jacksonville FL 32210-1852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lyons, Jesse Tyler can be contacted via phone (904) 384-5222.

Contact Information

Primary practice address
4530 Saint Johns Ave Ste 13 Jacksonville FL 32210-1852
Phone: (904) 384-5222
Fax: (904) 390-7461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME163619 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME163619 Florida

Profile Details

NPI number 1437716529
LBN Legal business name Lyons, Jesse Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2019
Last updated Sep 27th, 2023 - about 3 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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