Individual
MS. TRACEY MICHELLE LYONS-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 PARK CENTRAL DR STE 100, COLUMBIA, SC 29203-6469
(803) 736-3277
Mailing address
2000 PARK ST STE 101, COLUMBIA, SC 29201-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4541
SC
Other
Enumeration date
12/16/2013
Last updated
09/17/2025
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