Individual
TRACI LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3031
(423) 842-5353
Mailing address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3031
(423) 842-5353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000201636
TN
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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