Organization
LYONS ANESTHESIA SERVIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE LYONS CRNA (CRNA)
(612) 710-5719
Entity
Organization
Contact information
Practice address
4395 13TH LN NE, SAINT PETERSBURG, FL 33703-5307
(612) 710-5719
Mailing address
4395 13TH LN NE, SAINT PETERSBURG, FL 33703-5307
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
9309313
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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