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Thomas E Lyons

Anesthesiology

Allopathic & Osteopathic Physicians

6500 Excelsior Blvd, St Louis Park, MN 55426-4702

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS LYONS.

Based on the most recent information from CMS, provider Thomas E Lyons is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1154377026
Provider Type
Individual
Full Name
Lyons, Thomas E
Credential
MD

Gender
Male
Enumeration Date
5/25/2006
Last Updated
7/8/2007

Contact Information

Practice Location

6500 Excelsior Blvd, St Louis Park, MN 55426-4702

(952) 920-0845

Unlisted Fax

Mailing Location

PO Box 47159, Plymouth, MN 55447-0159

(763) 559-3779

(769) 450-3986

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 29613 Minnesota

Thomas E Lyons

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Yasmineh, David J

Peterson, Bradley J

Hoops, David E

Lyons, Michael J

Swanlund, Eric G

Kaltenberg-Ahlers, Diane R

Leonovicz, Brian M

Dondlinger, Steven C

Newcome, John P

Zurn, John D.