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

Glenn P Lyons, PA

Individual provider General Practice Physician · NPI 1265629547

Glenn P Lyons, PA is a Physician Assistant in Plattsburgh, New York. Qualified in 2003, 23 years ago. Practices with In Health Family Medicine PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

96 Court St
Plattsburgh, NY 12901-2733
Phone: (518) 562-2369
Fax: (518) 562-2263
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009469 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 009469 (NY)

Record details

NPI number1265629547
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 1, 2007
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address96 Court St, Plattsburgh, NY 12901-2733

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice In Health Family Medicine Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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