David H Lyon a Professional Corporation

NPI #1649675778 in Modesto, California

Provider Information

NPI Number: 1649675778
Entity Type: Organization
Organization Name: David H Lyon a Professional Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Oct 31, 2014
Last Updated: Dec 23, 2014

Practice Location

Address: 4701 SISK RD
Address 2: SUITE 103
City: Modesto
State: California
ZIP Code: 95356-9320
Phone: (888) 582-0814

Authorized Official

Name: JULIE SMITH
Title: SUPERVISOR
Phone: (209) 552-7551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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