Marjama Lyons, Jill M

Marjama Lyons, Jill M is an individual health care provider with primary practice located at 7000 Jefferson St Ne , Albuquerque NM 87109-4313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Marjama Lyons, Jill M can be contacted via phone (505) 797-3771.

Contact Information

Primary practice address
7000 Jefferson St Ne Albuquerque NM 87109-4313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 94-319 New Mexico

Profile Details

NPI number 1366534570
LBN Legal business name Marjama Lyons, Jill M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366534570 NPPES
New Mexico MEDICAID 18879

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