Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyson Lauderdale

Individual provider Case Manager/Care Coordinator · NPI 1063206340

Tyson Lauderdale is a Case Manager/Care Coordinator in Athens, Ohio. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

400 E State St Ste D
Athens, OH 45701-1870
Phone: (740) 326-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1063206340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address72 N Huron Ave, Columbus, OH 43204-2661

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