Basic Information
| Provider Information | |||||||||
| NPI: | 1851339063 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LYONS | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13901 RYON DR | ||||||||
| Address2: | |||||||||
| City: | GLENELG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217379755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104895014 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15001 HEALTH CENTER DR | ||||||||
| Address2: | |||||||||
| City: | BOWIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207161017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012625511 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | D0031817 | MD | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.