Provider Demographics
NPI:1144467408
Name:LYONS, TRACY DUNN (NP)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:DUNN
Last Name:LYONS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:145 YORKTOWN DR
Mailing Address - Street 2:GRIFFIN FAMILY MEDICINE CLINIC
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303
Mailing Address - Country:US
Mailing Address - Phone:318-445-8380
Mailing Address - Fax:318-445-9753
Practice Address - Street 1:145 YORKTOWN DR
Practice Address - Street 2:GRIFFIN FAMILY MEDICINE CLINIC
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303
Practice Address - Country:US
Practice Address - Phone:318-445-8380
Practice Address - Fax:318-445-9753
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA5638363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily