Glynnis J. Lyons, Do, Pa

NPI 1417144759 - Family Medicine - 207Q00000X

NPI Details
NPI 1417144759
Enumeration Date 10/01/2007
Last Updated 10/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLYNNIS J. GLYNNIS
Position OWNER/PHYSICIAN
Phone (772) 286-0552
Fax (772) 286-7574
Practice Location
1050 SE MONTEREY RD
SUITE #201
STUART FL, 34994-4512, US
Phone (772) 286-0552
Fax (772) 286-7574
Business Location
2489 SE DELANO RD
PORT ST LUCIE FL, 34952-5541, US
Phone (772) 286-0552
Fax (772) 286-7574
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS4419
Remove 1417144759 NPI Number
 

According to our database, Glynnis J. Lyons, Do, Pa NPI is 1417144759, taxonomy code is 207Q00000X and license number is OS4419, license state is located at Florida. Glynnis J. Lyons, Do, Pa physically located at 1050 Se Monterey Rd, Stuart FL, 34994-4512. NPI Number 1033115704 has the healthcare provider type.

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1417144759 NPI number is provided on an as is basis without warranty of any kind. 1417144759 is maintained by the National Plan & Provider Enumeration System. The contents of Glynnis J. Lyons, Do, Pa are for informational purposes only.