| NPI | 1265693857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYONS Owner 901-493-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MS 80187) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 80187) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2011-11-18 |