Individual
CHRISTINA CRUSE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 950245, LOUISVILLE, KY 40295-0245
(502) 964-4357
(502) 966-5948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000755187
ANTHEM - NICC
KY
05
—
201067530
—
IN
Enumeration date
10/18/2011
Last updated
06/28/2012
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