Lyons, Jun

Lyons, Jun is an individual health care provider with primary practice located at 3450 Highway 80 W , Jackson MS 39209. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Lyons, Jun can be contacted via phone (601) 321-2400.

Contact Information

Primary practice address
3450 Highway 80 W Jackson MS 39209
Phone: (601) 321-2400
Fax: (601) 985-5174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063716157
LBN Legal business name Lyons, Jun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Aug 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063716157 NPPES
Mississippi MEDICAID 00018209

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