| Doctor Name: | MR. MICHAEL J LYONS |
| NPI Number: | 1003183161 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 16764 |
| Business Practice Address: | 6580 Dakota Dr West Des Moines, IA - 502662431 |
| Business Phone Number: | 5152250117 |
| Business Fax Number: | |
| Mailing Address: | 6580 Dakota Dr, WEST DES MOINES |
| State: | IA |
| Postal Code: | 502662431 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2011 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 16764 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |