Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ezra Lyon, MD

Individual provider Obstetrics Physician · NPI 1669906004

Ezra Lyon, MD is a Family Practice in Wausau, Wisconsin. Qualified in 2017, 9 years ago. Practices with Primary Connection Health Care, Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1810 N 2nd St
Wausau, WI 54403-3492
Phone: (715) 848-4884
Fax: (715) 845-5385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69896 (WI)
Obstetrics Physician Taxonomy 207VX0000X · Licence 69896 (WI)

Record details

NPI number1669906004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address1810 N 2nd St, Wausau, WI 54403-3492

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Primary Connection Health Care, Inc. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount