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Individual

DR. AUDREY EDWARDS LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1480 TIMBERLANE RD STE 100, TALLAHASSEE, FL 32312-1713
(205) 592-3911
(205) 592-3537
Mailing address
790 MONTCLAIR RD, SUITE 100, BIRMINGHAM, AL 35213-1966
(205) 592-3911
(205) 592-3537

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5003
FL
152W00000X
Optometrist
SA84TA659
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51529350
BCBS
AL
Enumeration date
10/24/2006
Last updated
01/09/2018
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