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General NPI Number Information
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NPI Number | 1497367403
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Entity Type | Individual
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Provider Name | DARYL LYONS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 7460 LAKE BREEZE DR
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City | FORT MYERS
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State | FL
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Zip | 33907-8090
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Country | US
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Telephone | 603-350-4894
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Fax |
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Provider Business Mailing Address
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Address Line | 2819 SE 18TH AVE
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City | CAPE CORAL
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State | FL
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Zip | 33904-4044
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Country | US
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Telephone | 603-396-1803
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 246184
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11024094
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License Number State | FL
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