Individual
MRS. JAID LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 EAST BROAD STREET, COLUMBUS, OH 43205
(614) 252-8300
(614) 252-6037
Mailing address
800 EAST BROAD STREET, COLUMBUS, OH 43205
(614) 252-8300
(614) 252-6037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.007755RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.007755RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042645
—
OH
Enumeration date
01/09/2023
Last updated
12/18/2024
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