| Doctor Name: | DR. MIKE LYONS |
| NPI Number: | 1528112281 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | D0055426 |
| Business Practice Address: | 9601 Pulaski Park Dr Suite 416 Middle River, MD - 212201409 |
| Business Phone Number: | 4109335678 |
| Business Fax Number: | |
| Mailing Address: | 9601 Pulaski Park Dr, Suite 416 MIDDLE RIVER |
| State: | MD |
| Postal Code: | 212201409 |
| Phone Number: | 4109335678 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 06/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | D0055426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |