National Provider Identifier
Jacqueline Lyons, M.D.
Jacqueline Lyons, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.
Profile Overview
- NPI
- 1851755409
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 11, 2016
- Last Updated
- June 03, 2020
Practice Location
- 601 Elmwood Ave
- Box Surg
- Rochester, NY 14642-0001
Phone: (585) 275-2723
Mailing Address
- 8 Shannon Cir
- Bryn Mawr, PA 19010-3713
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1851755409
- Entity Type
- Individual
- Last Name
- Lyons
- First Name
- Jacqueline
- Credential
- M.D.
- Mailing Street Address
- 8 Shannon Cir
- Mailing City
- Bryn Mawr
- Mailing State
- PA
- Mailing ZIP Code
- 19010-3713
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2723
- Enumeration Date
- April 11, 2016
- Last Updated
- June 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)