Provider Demographics
NPI:1437545183
Name:LYON, CHRISTINA R (DO)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:LYON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1331 W 75TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9311
Mailing Address - Country:US
Mailing Address - Phone:630-646-4700
Mailing Address - Fax:630-904-7378
Practice Address - Street 1:1331 W 75TH ST STE 202
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9311
Practice Address - Country:US
Practice Address - Phone:630-646-4700
Practice Address - Fax:630-904-7378
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI66719-21207Q00000X
IL036.159115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine