Lyons, Jacqueline Cardozo
Lyons, Jacqueline Cardozo is an individual health care provider with primary practice located at 5970 D Jog Rd , Lake Worth FL 33467. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lyons, Jacqueline Cardozo can be contacted via phone (561) 967-1888.Contact Information
Primary practice address
5970 D Jog Rd
Lake Worth FL 33467
Phone: (561) 967-1888
Fax: (561) 967-1998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP2694 | Florida |
Profile Details
| NPI number | 1831176528 |
|---|---|
| LBN Legal business name | Lyons, Jacqueline Cardozo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jan 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831176528 | NPPES |
| Florida | MEDICAID | 084956100 |
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