TANNER P LYONS

CHARLESTON, SC
NPI1821625500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: SC  93560)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-24
Last Update Date2025-06-18
Business Address
TANNER P LYONS
2295 HENRY TECKLENBURG DR
CHARLESTON, SC 29414-7801
Phone number: 437-667-1038
Mailing Address
TANNER P LYONS
2295 HENRY TECKLENBURG DR
CHARLESTON, SC 29414-7801
Phone number: 437-667-1038