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Individual

AMANDA ROSE LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C

Contact information

Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-5469
Mailing address
7926 PRESTON HWY, LOUISVILLE, KY 40219-3848

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014361
KY

Other

Enumeration date
02/19/2020
Last updated
03/20/2020
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