Individual provider Active NPI

Lawrence Lyons, MD

  • Family Medicine Physician
  • Cerrillos, NM
National Provider Identifier
1043378060
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77-213 Issued in NM
Practice address
06B Main Street
Cerrillos, NM 87010
Phone
(505) 471-6266
Fax
(505) 471-5861
NPI assigned
Dec 4, 2006
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77-213 NM Primary

Addresses

Primary practice location

06B Main Street
Cerrillos, NM 87010

Mailing address

PO Box 2267
Santa Fe, NM 87504-2267
Phone (505) 820-3478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000640 NM Practitioner - Family Practice 2668640582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

199 Hwy 50
Pecos, NM 87552
Phone (505) 757-6482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77-213NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince May 23, 2016 Accepting new patients
Presbyterian Medical Services Family Medicine CurrentSince May 23, 2016 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services PastSince Jan 15, 2023 Accepting new patients

Locations

835 Spruce St
Espanola, NM 87532
Phone (505) 614-6369

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1043378060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2267",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042267",
            "telephone_number": "505-820-3478",
            "fax_number": "505-989-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "06B MAIN STREET",
            "city": "CERRILLOS",
            "state": "NM",
            "postal_code": "87010",
            "telephone_number": "505-471-6266",
            "fax_number": "505-471-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "77-213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerrillos, NM

Sources for this page

Verify at the official NPI Registry.