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DR. CARLTON L. LYONS M.D.
NPI 1346294360
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in South Bend, IN

Active since May 22, 2006
621 MEMORIAL DR STE 302, SOUTH BEND, IN 46601(574) 367-3800(574) 367-3801 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2019, Feb 13, 2017 (2 updates tracked since 2017).

About Dr. Carlton L. Lyons M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLTON L. LYONS M.D. (NPI 1346294360) is an individual urogynecology and reconstructive pelvic surgery provider in South Bend, Indiana, licensed in Indiana (01039264A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1346294360
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. CARLTON L. LYONSCredential: M.D.
Location Address621 MEMORIAL DR STE 302South Bend, IN 46601-1073
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 367-3800
Fax(574) 367-3801
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 29, 20192 updates tracked since enumeration
✔ NPI 1346294360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in IN · 01039264A
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 01039264A (IN)
621 MEMORIAL DR STE 302, South Bend, IN 46601
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Other Identifiers 1

Medicaid100336130IN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARBEL F MASKINY MD
Internal Medicine (Critical Care Medicine)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350
TED M. ROTH MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 367-3800
JENNIFER S BAUER NP
Nurse Practitioner (Family)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 367-3800
DR. MATTHEW FRANCIS KOSCIELSKI M.D.
Internal Medicine (Critical Care Medicine)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlton Lyons's NPI number?

The NPI number for Carlton Lyons is 1346294360. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Carlton Lyons located?

Carlton Lyons practices at 621 Memorial Dr Ste 302, South Bend, IN 46601. The listed phone number is (574) 367-3800.

What is Carlton Lyons's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

When was this NPI record last updated?

The NPPES record for Carlton Lyons was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.