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Individual

DR. JACQUELINE CARDOZO LYONS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5970 D JOG RD, LAKE WORTH, FL 33467
(561) 967-1888
(561) 967-1998
Mailing address
1280 LANTANA RD, STE 1, LANTANA, FL 33462-1543
(561) 967-1888
(561) 967-1998

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2694
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084956100
FL
Enumeration date
12/23/2005
Last updated
01/04/2019
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