Organization
GLYNNIS J. LYONS, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLYNNIS J. LYONS D.O. (OWNER/PHYSICIAN)
(772) 286-0552
Entity
Organization
Contact information
Practice address
1050 SE MONTEREY RD, SUITE #201, STUART, FL 34994-4512
(772) 286-0552
(772) 286-7574
Mailing address
2489 SE DELANO RD, PORT ST LUCIE, FL 34952-5541
(772) 286-0552
(772) 286-7574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4419
FL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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