Robert E Lyon Internal Medicine, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

014103 Issued in LA

Legal business name

ROBERT E LYON INTERNAL MEDICINE, INC

Practice address

420 Gunby Ave
Bastrop, LA 71220-4406

Phone

(318) 281-3432

Fax

(318) 281-8850

NPI assigned

Aug 4, 2009

Last updated

Aug 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Lyon, M.D.

Title

Owner

Phone

(318) 281-3432

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1801027131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GUNBY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204406",
            "telephone_number": "318-281-3432",
            "fax_number": "318-281-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GUNBY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204406",
            "telephone_number": "318-281-3432",
            "fax_number": "318-281-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E LYON INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-281-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "015059",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "014103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302112",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kia Rhodes
• Richard R. Russell, O.D.
• Milan Richard
• Tracey Butler Rios, OT
• Riversouth Rehabilitation Center, Inc. (N/a)
• Robert E Lyon Internal Medicine, Inc.
• Kiantre Robinson
• Richard Rawls Russell, O.D.
• Curtis Sanders, M.D.
• Savannah Court of Bastrop

• Internal Medicine Physician in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.