MR. LYRIC JACKSON
Driver
Active
Individual
NPI: 1972948297
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | 107737260 (NM) |
Frequently Asked Questions
NPI 1972948297 is the National Provider Identifier for MR. LYRIC JACKSON, a Driver provider located in Rio Rancho, NM. This NPI was enumerated on April 30, 2013.
MR. LYRIC JACKSON practices at 3513 PLANO VISTA NE, Rio Rancho, NM 87124.
Quick Facts
- NPI
- 1972948297
- Type
- Individual
- Enumerated
- Apr 30, 2013
- Last Updated
- Apr 30, 2013
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