Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LYRIC JACKSON
ActiveMR. LYRIC JACKSON is a Driver healthcare provider located in RIO RANCHO, New Mexico. NPI 1972948297 is currently active in the NPPES registry. Verify at CMS.
Driver · RIO RANCHO, NM
Registration Details
- NPI Number
- 1972948297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2013 (13.26650871588 yrs)
- Last Updated
- Apr 30, 2013
- License
-
107737260 (NM)
Practice Information
- Address
-
3513 PLANO VISTA NERIO RANCHO, NM, 87124Browse NM providers · Browse ZIP 87124
- Phone
- 5054337039
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in RIO RANCHO, NM
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN OBEJI | — | 1497199988 |
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.