Individual
KIMBERLY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
544 MULBERRY ST STE 902, MACON, GA 31201-8262
(478) 207-7821
(478) 330-5592
Mailing address
232 RIVER NORTH CIR, MACON, GA 31211-6038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004383
GA
Other
Enumeration date
02/01/2015
Last updated
04/16/2024
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