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Individual
MRS. TYNER LEIGH RAY LOLLIS
Active
Individual
MRS. TYNER LEIGH RAY LOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
18835
SC
363LN0005X
Critical Care Neonatal Nurse Practitioner
5005582
NC
Other
Enumeration date
04/26/2012
Last updated
05/22/2019
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