Glynnis J. Lyons, DO, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4419 Issued in FL

Legal business name

GLYNNIS J. LYONS, DO, PA

Practice address

1050 SE Monterey Rd
Suite #201
Stuart, FL 34994-4512

Phone

(772) 286-0552

Fax

(772) 286-7574

NPI assigned

Oct 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glynnis J. Lyons, D.O.

Title

Owner/Physician

Phone

(772) 286-0552

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Kathleen Carson, PA-C

  • Physician Assistant
  • Palm City, FL
  • NPI 1265783161
  NPD (past)
• Dianna Cheryl Lievano, PA-C

  • Physician Assistant
  • North Chesterfield, VA
  • NPI 1497037717
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1417144759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 SE DELANO RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525541",
            "telephone_number": "772-286-0552",
            "fax_number": "772-286-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE #201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-286-0552",
            "fax_number": "772-286-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNNIS J. LYONS, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "GLYNNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-286-0552",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiquita Glenn
• Kelsey Kayla Glenn
• Jeffrey L Glickman, M.D.
• Tandie L Glinton-Johnson
• Mari Glover, RBT
• Go Medi Supply LLC
• Giulia Lourdes Goes Amorim
• Sattar Gojraty, M.D.
• Michael J Goldberg, O.D.
• Joy Goldenberg, MA

• Family Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.