Lyons, Jo Marie

Lyons, Jo Marie is an sole proprietor health care provider with primary practice located at 428 Winn Ct , Decatur GA 30030-1726. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Lyons, Jo Marie can be contacted via phone (770) 384-0284.

Contact Information

Primary practice address
428 Winn Ct Decatur GA 30030-1726
Phone: (770) 384-0284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 031786 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 031786 Georgia

Profile Details

NPI number 1780789297
LBN Legal business name Lyons, Jo Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780789297 NPPES
Georgia Other 13BDDRC01 MEDICARE ID
Georgia MEDICAID 000392972D MEDICARE ID

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