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Individual

DR. JENNIFER JEANNE LYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
I-40 EXIT 102, SAN FIDEL, NM 87049
(505) 552-5395
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5395

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1535
AK

Other

Enumeration date
10/01/2009
Last updated
10/01/2009
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