Individual
ANNETTE R LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2430 EMERALD PL, SUITE 201, GREENVILLE, NC 27834-5784
(252) 752-2140
(252) 752-3949
Mailing address
2430 EMERALD PL, SUITE 201, GREENVILLE, NC 27834-5784
(252) 752-2140
(252) 752-3949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245026
NC
367500000X
Certified Registered Nurse Anesthetist
2021023898
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
84224
NC
367500000X
Certified Registered Nurse Anesthetist
AA103001
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912238171
TRICARE
NC
05
—
8053818
—
NC
01
—
P00857057
RAILROAD MEDICARE
NC
Enumeration date
01/27/2010
Last updated
10/09/2024
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