Robert E Lyon Internal Medicine, Inc | |
420 Gunby Ave Bastrop LA 71220-4406 | |
(318) 281-3432 | |
(318) 281-8850 |
Full Name | Robert E Lyon Internal Medicine, Inc |
---|---|
Speciality | Internal Medicine |
Location | 420 Gunby Ave, Bastrop, Louisiana |
Authorized Official Name and Position | Robert E Lyon (OWNER) |
Authorized Official Contact | 3182813432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert E Lyon Internal Medicine, Inc 420 Gunby Ave Bastrop LA 71220-4406 Ph: (318) 281-3432 | Robert E Lyon Internal Medicine, Inc 420 Gunby Ave Bastrop LA 71220-4406 Ph: (318) 281-3432 |
NPI Number | 1801027131 |
---|---|
Provider Enumeration Date | 08/04/2009 |
Last Update Date | 08/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801027131 | NPI | - | NPPES |
1302112 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 015059 (Louisiana) | Secondary |
207R00000X | Internal Medicine | 014103 (Louisiana) | Primary |
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› Verified 6 days ago
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