Millward, Carl Lyon

Millward, Carl Lyon is an individual health care provider with primary practice located at 222 W 39Th Ave , San Mateo CA 94403-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Millward, Carl Lyon can be contacted via phone (650) 573-2222.

Contact Information

Primary practice address
222 W 39Th Ave San Mateo CA 94403-4364
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A55816 California

Profile Details

NPI number 1750423307
LBN Legal business name Millward, Carl Lyon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 19 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 1750423307 NPPES
California MEDICAID 00A558160

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