| NPI | 1598709198 |
|---|---|
| Doing Business As | LYON PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | CLARETTA FOYE Chief Executive Officer 919-956-4022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-28 |