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Individual
MRS. JORDAN VERDIE LYONS
Active
Individual
MRS. JORDAN VERDIE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025252
NY
363AS0400X
Surgical Physician Assistant
025252
NY
Other
Enumeration date
08/12/2020
Last updated
01/07/2025
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