Organization Name: | JAMES M, LYONS, OD |
NPI Number: | 1700145687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES M. LYONS (SOLE PROPRIETOR) |
Mailing Address: | 14333 Hwy 13 S Savage |
State: | MN US |
Postal Code: | 553782153 |
Phone Number: | 9522261411 |
Fax Number: | 9522261413 |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 1953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |