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Individual
ELLA CATHERINE LYONS
Active
Individual
ELLA CATHERINE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN066974
GA
363LF0000X
Family Nurse Practitioner
RN066974
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01067660
AMERIGROUP
GA
01
—
404137
WELLCARE
GA
01
—
50BBKLX
TERM'D MEDICARE PTAN
GA
05
—
896062340B
—
GA
05
—
896062340C
—
GA
05
—
NP2497
—
SC
01
—
P00443157
RR MEDICARE
GA
Enumeration date
05/16/2006
Last updated
09/24/2013
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