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Charles Roger Lyons JR., MD
Family Medicine Physician in Wabash, Indiana
NPI 1235139460

Charles Roger Lyons JR. is a Family Medicine Physician based in Wabash, IN. Charles Roger Lyons JR. practices in Wabash, IN and has the professional credentials of MD. The NPI Number for Charles Roger Lyons JR. is 1235139460 and holds a License No. 01022249 (Indiana).

The current practice location address for Charles Roger Lyons JR. is 1025 Manchester Ave, Wabash, IN and can be reached out via phone at 260-563-7421 and via fax at 260-563-7725.

Location: 1025 Manchester Ave, Wabash, IN, 46992-1425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235139460
Provider Name
Charles Roger Lyons JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1025 Manchester Ave, Wabash, IN, 46992-1425
Phone Number
260-563-7421
Fax Number
260-563-7725
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000082846 01 BCBS
100084290A 05 IN
10336 01 PHP
institution
Provider Business Practice Location Address Details
Address
1025 Manchester Ave
City
Wabash
State
Indiana
Zip
46992-1425
Phone Number
260-563-7421
Fax Number
260-563-7725
person
Provider Business Mailing Address Details
Address
1025 Manchester Ave
City
Wabash
State
Indiana
Zip
46992-1425
Phone Number
260-563-7421
Fax Number
260-563-7725
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01022249 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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