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

JACKSON W LYIMO

Active Sole Proprietor

JACKSON W LYIMO is a Foot & Ankle Surgery healthcare provider located in PATASKALA, Ohio. NPI 1376348433 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · PATASKALA, OH

Registration Details

NPI Number
1376348433
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2025 (1.5071487997828 yrs)
Last Updated
Feb 13, 2025
Sole Proprietor
Yes

Practice Information

Address
835 CORYLUS DR
PATASKALA, OH, 430627593
Browse OH providers · Browse ZIP 43062
Phone
3162040178
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in PATASKALA, OH

Name Credential NPI
MARIA PETRYKOWSKI 1356756035
TAKEISHA HINES 1407622707
OMOTOLA FOLUSHO ADEMODI 1679343164
MS. LORRAINE ANN CANADY 1588493084
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.