Lyall, Tara Nichole

Lyall, Tara Nichole is an individual health care provider with primary practice located at 1880 Lincoln St , Kingsport TN 37664-5190. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lyall, Tara Nichole can be contacted via phone (423) 378-7311.

Contact Information

Primary practice address
1880 Lincoln St Kingsport TN 37664-5190
Fax: (423) 378-7320
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0000016072 Tennessee

Profile Details

NPI number 1578681193
LBN Legal business name Lyall, Tara Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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