LYZA TENNILLE GAINES

FORT PAYNE, AL
NPI1518912369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: AL  1-091459)
Enumeration Date2006-05-23
Last Update Date2012-09-26
Business Address
LYZA TENNILLE GAINES CRNP
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968-3421
Phone number: 256-997-2820
Mailing Address
LYZA TENNILLE GAINES CRNP
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968-3421
Phone number: 256-997-2820
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