Individual
TANNER P LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(437) 667-1038
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(437) 667-1038
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
93560
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2020
Last updated
06/18/2025
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