Individual
GLYNNIS J LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13501 ICOT BLVD STE 114, CLEARWATER, FL 33760-3729
(727) 754-7880
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS4419
FL AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
01/06/2006
Last updated
01/11/2024
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