Individual
LISA TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 CENTER ST, SUITE A, MOBILE, AL 36604-1512
(251) 439-7877
Mailing address
31 VILLAGE MAIN ST, SPANISH FORT, AL 36527-9419
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
616A
AL
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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