| Doctor Name: | MISS LISA TYLER |
| NPI Number: | 1073913547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN183446 |
| Business Practice Address: | 1061 Harmon Ave Fort Stewart, GA - 313145641 |
| Business Phone Number: | 9124356762 |
| Business Fax Number: | |
| Mailing Address: | 1061 Harmon Ave, FORT STEWART |
| State: | GA |
| Postal Code: | 313145641 |
| Phone Number: | 9124356762 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2014 |
| NPI Last Update Date: | 09/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | RN183446 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |