| Doctor Name: | CAROLE LYONS |
| NPI Number: | 1245338912 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | RN126681 |
| Business Practice Address: | 172 Follins Ln St Simons Island, GA - 315224268 |
| Business Phone Number: | 9126342795 |
| Business Fax Number: | 9126385636 |
| Mailing Address: | 172 Follins Ln, ST SIMONS ISLAND |
| State: | GA |
| Postal Code: | 315224268 |
| Phone Number: | 9126342795 |
| Fax Number: | 9126385636 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN126681 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |