Lyon, Jacqueline Marie

Lyon, Jacqueline Marie is an individual health care provider with primary practice located at 580 Court St , Keene NH 03431-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Lyon, Jacqueline Marie can be contacted via phone (603) 354-5400.

Contact Information

Primary practice address
580 Court St Keene NH 03431-1718
Phone: (603) 354-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 13975 New Hampshire
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 027112 Connecticut

Profile Details

NPI number 1689676496
LBN Legal business name Lyon, Jacqueline Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Aug 15th, 2023 - about 3 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 1689676496 NPPES
Connecticut Other 500HBX099CT04 ANTHEM/DEQUATTRO
Connecticut Other 0143311-011 ANTHEM/DEQUATTRO
Connecticut Other 458887 ANTHEM/DEQUATTRO
Connecticut Other 2045943 ANTHEM/DEQUATTRO
Connecticut Other 500HBX099CT01 ANTHEM/DEQUATTRO
Connecticut Other 0S2354 ANTHEM/DEQUATTRO
Connecticut Other 500HBX099CT02 ANTHEM/DEQUATTRO
Connecticut MEDICAID 001271121 ANTHEM/DEQUATTRO
Connecticut Other 06-1062103 ANTHEM/DEQUATTRO
Connecticut Other 500HBX099CT05 ANTHEM/DEQUATTRO

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