Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EZRA LYON, M.D.
ActiveEZRA LYON, M.D. is a Family Medicine healthcare provider located in WAUPACA, Wisconsin. NPI 1669906004 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WAUPACA, WI
Registration Details
- NPI Number
- 1669906004
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2017 (9.3382013786893 yrs)
- Last Updated
- Feb 11, 2025
- Licenses
-
69896 (WI)69896 (WI)
Practice Information
- Address
-
710 RIVERSIDE DRWAUPACA, WI, 549811941Browse WI providers · Browse ZIP 54981
- Phone
- 7152563000
- Fax
- 7152563079
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Obstetrics
Other Family Medicine Providers in WAUPACA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELLE A SOTO | MD | 1396731410 |
| DR. GILBERT C BURGSTEDE | M.D. | 1942283775 |
| CAROL A VOSS | MD | 1841250354 |
| SARAH C DURST | MD | 1114967312 |
| KELLY PUCILLO | MD | 1548200595 |
| RUSSELL F. BUTKIEWICZ | M.D. | 1891730693 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.