Provider Demographics
NPI:1164459764
Name:LYON, HOWARD S (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:S
Last Name:LYON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:501 WASHINGTON ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2231
Mailing Address - Country:US
Mailing Address - Phone:619-278-3300
Mailing Address - Fax:619-278-3310
Practice Address - Street 1:4077 FIFTH AVE
Practice Address - Street 2:MER127
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2105
Practice Address - Country:US
Practice Address - Phone:619-994-6558
Practice Address - Fax:619-686-3874
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG70629207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF98987Medicare UPIN