Individual
MR. PAUL LAWRENCE LYONS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 LANIER AVE W, FAYETTEVILLE, GA 30214-1600
(404) 729-3371
Mailing address
433 OLD GREENVILLE RD, FAYETTEVILLE, GA 30215-2828
(404) 729-3371
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
37026
GA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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