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
—
—
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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