Organization Name: | FRANK LYONS DO, PSC |
NPI Number: | 1346440062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN DEERE (BILLING MGR) |
Mailing Address: | 775 E Tom T Hall Blvd Olive Hill |
State: | KY US |
Postal Code: | 411647040 |
Phone Number: | 6062865065 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2007 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 02947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |