Provider Demographics
NPI:1023155025
Name:LYONS HOME MEDICAL LLC
Entity type:Organization
Organization Name:LYONS HOME MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-230-5494
Mailing Address - Street 1:144 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2947
Mailing Address - Country:US
Mailing Address - Phone:615-230-5494
Mailing Address - Fax:615-230-5496
Practice Address - Street 1:144 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2947
Practice Address - Country:US
Practice Address - Phone:615-230-5494
Practice Address - Fax:615-230-5496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5558520001Medicare NSC