Provider Demographics
NPI:1952766115
Name:MCGUIRE SURRENCY, LYRA LYONS (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LYRA
Middle Name:LYONS
Last Name:MCGUIRE SURRENCY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4340 W NEWBERRY RD
Mailing Address - Street 2:SUIT 203
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2586
Mailing Address - Country:US
Mailing Address - Phone:352-222-9051
Mailing Address - Fax:
Practice Address - Street 1:4340 W NEWBERRY RD
Practice Address - Street 2:SUIT 203
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2586
Practice Address - Country:US
Practice Address - Phone:352-222-9051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9219140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily