# JENNIFER L LYONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629069026
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD18424 | OR | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 02/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078944 | — | OR |
| 01 | — | 180025900 | RAILROAD MEDICARE | OR |