Provider Demographics
NPI:1457307787
Name:LYONS, SEAN V (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:V
Last Name:LYONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25200 CENTER RIDGE RD STE 2250
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4156
Mailing Address - Country:US
Mailing Address - Phone:440-331-2051
Mailing Address - Fax:440-333-5015
Practice Address - Street 1:25200 CENTER RIDGE RD STE 2250
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4156
Practice Address - Country:US
Practice Address - Phone:440-331-2051
Practice Address - Fax:440-333-5015
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35064912207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0930345Medicaid
OHE16095Medicare UPIN
OH0930345Medicaid