Provider Demographics
NPI:1750532297
Name:LYON, CAROLYN R (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:R
Last Name:LYON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4032 LAKE UNDERHILL RD
Mailing Address - Street 2:APT M
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-7064
Mailing Address - Country:US
Mailing Address - Phone:813-390-9182
Mailing Address - Fax:
Practice Address - Street 1:86 W UNDERWOOD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1110
Practice Address - Country:US
Practice Address - Phone:407-237-6329
Practice Address - Fax:407-649-3083
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2012-04-10
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Provider Licenses
StateLicense IDTaxonomies
FLME103952207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine