| Edward P. Lyons M.d. Apmc | |
|
1211 Coolidge Blvd Suite 301 Lafayette LA 70503-2636 | |
| (337) 235-8381 | |
| (337) 235-1010 |
| Full Name | Edward P. Lyons M.d. Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 Coolidge Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Shantell H Charles (OFFICE MANAGER) |
| Authorized Official Contact | 3372358381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P. Lyons M.d. Apmc 1211 Coolidge Blvd Suite 301 Lafayette LA 70503-2636 Ph: (337) 235-8381 | Edward P. Lyons M.d. Apmc 1211 Coolidge Blvd Suite 301 Lafayette LA 70503-2636 Ph: (337) 235-8381 |
| NPI Number | 1497984801 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Medicare PECOS PAC ID | 8224170311 |
|---|---|
| Medicare Enrollment ID | O20100128000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497984801 | NPI | - | NPPES |
| 1316962483 | Other | LA | NPI INDIVIDUAL |
| 1157911 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD012304 (Louisiana) | Primary |
| Provider Name | Edward P Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316962483 PECOS PAC ID: 5597775239 Enrollment ID: I20060426000288 |
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