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Individual

RACHEL LYONS

Active
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Individual

RACHEL LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPP37204
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-14-2010
NHPRI
RI
05
—
0321362
—
MA
01
—
04-15-2009
UNITED HEALTHCARE
RI
01
—
1669582144
NPI
RI
05
—
7010335
—
RI
01
—
939025129
MEDICARE GROUP NUMBER
RI
Enumeration date
08/30/2006
Last updated
08/30/2011
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