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Organization
LYONS HEART PRIMARY CARE LLC
Active
Organization
LYONS HEART PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI LATOSHA MCCAIN NURSE PRACTITIONER (OWNER)
(844) 759-6647
Entity
Organization
Contact information
Practice address
7623 WILSON BLVD, COLUMBIA, SC 29203
(844) 759-6647
Mailing address
7623 WILSON BLVD, COLUMBIA, SC 29203-4385
(844) 759-6647
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730558677
NPI NUMBER
—
Enumeration date
05/02/2022
Last updated
07/14/2025
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