Provider Demographics
NPI:1356640379
Name:LYONS, MARTIN ANTHONY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ANTHONY
Last Name:LYONS
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:41 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-1261
Mailing Address - Country:US
Mailing Address - Phone:334-567-3309
Mailing Address - Fax:334-567-5692
Practice Address - Street 1:41 CAMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36093-1261
Practice Address - Country:US
Practice Address - Phone:334-567-3309
Practice Address - Fax:334-567-5692
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2013-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL30815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine