JOHN BENTON LYON (NPI# 1336208305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336208305 |
| Entity Type | Individual |
| Full Name | JOHN BENTON LYON |
| Credential | M.D. |
| Practice Address |
1431 W 10th St Suite 2 Laurel MS 39440-2626 |
| Practice Telephone | 6016492450 |
| Practice Fax Number | 6016490556 |
| Mailing Telephone | 6016492450 |
| Mailing Fax Number | 6016490556 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 17566 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00125873 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407058852 | John R Lyon | Dentist | 9301 Bissonnet St Ste 165, Houston, TX 77074-1426 | 2007-06-05 |
| 1518036532 | John Steven Lyon | Dentist | 2700 Hydraulic Rd, Charlottesville, VA 22901-8915 | 2006-11-06 |
| 1720620032 | John Lyon Iv | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-09 |
| 1316121189 | John A Lyon | Social Worker | 2701 12th Ave S, Fargo, ND 58103-8753 | 2007-12-28 |
| 1245330729 | John H Lyon | Orthopaedic Surgery | 1550 N Northwest Hwy, Suite 220, Park Ridge, IL 60068-1411 | 2006-09-24 |
| Street Address |
1431 W 10TH ST SUITE 2 |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821302795 | Evan William Davis | Optometrist | 1431 W 10th St, Laurel, MS 39440-2626 | 2010-08-03 |
| 1538341839 | Advanced Vision Center Pllc | Ophthalmology | 1431 W 10th St, Laurel, MS 39440-2626 | 2007-11-29 |
| 1104039312 | Eye Care Associates | Optometrist | 1431 W 10th St, Laurel, MS 39440-2626 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1750787545 | Cherelle Stevens | Specialist | 8113 Mississippi Rd, Laurel, MD 20724-6124 | 2014-11-06 |
| 1871857623 | The Sparks Group, LLC | Specialist | 3547 Carriage Walk Ln, Laurel, MD 20724-2052 | 2012-06-26 |
| 1972828259 | Laurel Clinic for Women | Specialist | 115 S Magnolia St, Laurel, MS 39440-4431 | 2010-03-30 |
| 1881886208 | Virginia Q Galang | Specialist | 13900 Laurel Lakes Ave Ste 100, Laurel, MD 20707-5091 | 2007-08-10 |
| 1881775161 | Cam Physical Therapy and Wellness Services LLC | Specialist | 14205 Park Center Dr Ste 204, Laurel, MD 20707-5252 | 2006-10-17 |
| 1508870478 | Roslyn Clarissa Cyrus Rukus | Specialist | 7510 Contee Rd, Laurel, MD 20707-9244 | 2006-07-28 |
| 1184649477 | Guillermo Bernal, Md | Specialist | 405 N Central Ave Ste A, Laurel, DE 19956-1104 | 2006-07-13 |
| 1144289877 | Scott Ira Berkenblit | Specialist | 14201 Park Center Dr Ste 410, Laurel, MD 20707-5251 | 2006-03-21 |
| 1477533230 | Swapna Abhyankar | Specialist | 9811 Mallard Dr, Suite 109, Laurel, MD 20708-3143 | 2006-01-18 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.