Individual
JENNIFER LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00043301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8397341
—
WA
Enumeration date
06/01/2006
Last updated
02/22/2008
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