Lawrence Lyons, MD
Individual provider Active NPI Family Medicine Physician · Cerrillos, NM
NPI 1043378060 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1043378060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 77-213 (NM)
- Practice address
- 06B Main Street
Cerrillos, NM 87010 - Phone
- (505) 471-6266
- Fax
- (505) 471-5861
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Medical Services
Practice addresses (Care Compare)
199 Hwy 50
Pecos, NM 87552
Phone (505) 757-6482
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110720000640 | NM | Practitioner - Family Practice | 2668640582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77-213 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Family Medicine | Current |
Accepting new patients |
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Presbyterian Medical Services | Past |
Accepting new patients |
Locations
835 Spruce St
Espanola, NM 87532
Phone (505) 614-6369
4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 77-213 | NM | Yes |
Addresses
Primary practice location
06B Main Street
Cerrillos, NM 87010
Mailing address
PO Box 2267
Santa Fe, NM 87504-2267
Phone (505) 820-3478
Other providers in Cerrillos, NM
- Sonia Eufrosina Armijo
- Jeannette Caviness
- Holger Droege
- Mindy McClung
- Presbyterian Medical Services
- Stay Gold Counseling, LLC
- Luann Mary Wosick
- Anjani Susanna Ziznewski
All providers in Cerrillos, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.