Provider Demographics
NPI:1427134113
Name:LYON, JANICE W (MD)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:W
Last Name:LYON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:621 PLAINFIELD RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5343
Mailing Address - Country:US
Mailing Address - Phone:630-986-5968
Mailing Address - Fax:630-850-5980
Practice Address - Street 1:621 PLAINFIELD RD
Practice Address - Street 2:SUITE 107
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-5343
Practice Address - Country:US
Practice Address - Phone:630-986-5968
Practice Address - Fax:630-850-5980
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL036-068058207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology