Provider Demographics
NPI:1346233657
Name:LYONS, FRANK C JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:C
Last Name:LYONS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 VUE DU LOC
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503
Mailing Address - Country:US
Mailing Address - Phone:785-320-4700
Mailing Address - Fax:785-320-4704
Practice Address - Street 1:4809 VUE DU LOC
Practice Address - Street 2:SUITE 101
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503
Practice Address - Country:US
Practice Address - Phone:785-320-4700
Practice Address - Fax:785-320-4704
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0415984173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100197490AMedicaid
KS001806Medicare ID - Type Unspecified
KS100197490AMedicaid