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John Benton Lyon, MD
Specialist in Laurel, Mississippi
NPI 1336208305

John Benton Lyon is a Specialist based in Laurel, MS. John Benton Lyon practices in Laurel, MS and has the professional credentials of MD. The NPI Number for John Benton Lyon is 1336208305 and holds a License No. 17566 (Mississippi).

The current practice location address for John Benton Lyon is 1431 W 10Th St, Laurel, MS and can be reached out via phone at 601-649-2450 and via fax at 601-649-0556.

Location: 1431 W 10Th St, Laurel, MS, 39441-1965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336208305
Provider Name
John Benton Lyon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1431 W 10Th St, Laurel, MS, 39441-1965
Phone Number
601-649-2450
Fax Number
601-649-0556
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000125873 05 MS
institution
Provider Business Practice Location Address Details
Address
1431 W 10Th St
City
Laurel
State
Mississippi
Zip
39440-2626
Phone Number
601-649-2450
Fax Number
601-649-0556
person
Provider Business Mailing Address Details
Address
1431 W 10Th St
City
Laurel
State
Mississippi
Zip
39440-2626
Phone Number
601-649-2450
Fax Number
601-649-0556
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
17566 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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