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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER JEANNE LYON, PHARMD

Active Sole Proprietor

DR. JENNIFER JEANNE LYON, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in SAN FIDEL, New Mexico. NPI 1114251568 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · SAN FIDEL, NM

Registration Details

NPI Number
1114251568
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2009 (16.870253760461 yrs)
Last Updated
Oct 1, 2009
License
1535 (AK)
Sole Proprietor
Yes

Practice Information

Address
I-40 EXIT 102
SAN FIDEL, NM, 87049
Browse NM providers · Browse ZIP 87049
Phone
5055525395
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.