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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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