Search › Missouri › 367500000X
Lyea Shine
NPI 1396346870 · on the registry since 2020
Practice
- Address
- 502 Mccurry St
Pleasant Hope, MO 65725 - Phone
- (904) 254-3686
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- MO, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri