Individual
MARQUITA PLESHETTE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1708 TRAWICK RD, SUITE 111, RALEIGH, NC 27604-3897
(919) 250-3478
(919) 250-6272
Mailing address
118 STATION DR, MORRISVILLE, NC 27560-9247
(919) 402-7216
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0050-01540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005932
—
NC
Enumeration date
11/07/2006
Last updated
08/10/2012
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