IndividualActive
Alexander Lyons, CPO
NPI 1174511638 · Specialist · Conway, SC
Provider details
- NPI number
- 1174511638
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CPO
- Sex
- Male
Specialties & taxonomies
Other Service Providers
Practice location
123 Waccamaw Medical Park Dr
Conway, SC 29526-8902
Phone: (843) 347-5800
Fax: (843) 347-7469
Approximate (ZIP-level) locationGet directions
Mailing address
4728 Jenn Dr
Myrtle Beach, SC 29577-5714
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.