Individual
COLLEEN D LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10160 DORCHESTER RD, SUMMERVILLE, SC 29485-8527
(843) 871-7900
(843) 871-8731
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109
SC
Other
Enumeration date
05/05/2006
Last updated
11/14/2024
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