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Lyric Jackson
NPI 1972948297 · on the registry since 2013
Practice
- Address
- 3513 Plano Vista Ne
Rio Rancho, NM 87124 - Phone
- (505) 433-7039
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico