Glynnis J. Lyons, Do, Pa | |
1050 Se Monterey Rd Suite #201 Stuart FL 34994-4512 | |
(772) 286-0552 | |
(772) 286-7574 |
Full Name | Glynnis J. Lyons, Do, Pa |
---|---|
Speciality | Family Medicine |
Location | 1050 Se Monterey Rd, Stuart, Florida |
Authorized Official Name and Position | Glynnis J. Lyons (OWNER/PHYSICIAN) |
Authorized Official Contact | 7722860552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Glynnis J. Lyons, Do, Pa 2489 Se Delano Rd Port St Lucie FL 34952-5541 Ph: (772) 286-0552 | Glynnis J. Lyons, Do, Pa 1050 Se Monterey Rd Suite #201 Stuart FL 34994-4512 Ph: (772) 286-0552 |
NPI Number | 1417144759 |
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Provider Enumeration Date | 10/01/2007 |
Last Update Date | 10/01/2007 |
Medicare PECOS PAC ID | 1456375716 |
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Medicare Enrollment ID | O20060125000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417144759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS4419 (Florida) | Primary |
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