IndividualActive
Lyric Jackson
NPI 1972948297 · Driver · Rio Rancho, NM
Provider details
- NPI number
- 1972948297
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 107737260 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
3513 Plano Vista Ne
Rio Rancho, NM 87124
Phone: (505) 433-7039
Approximate (ZIP-level) locationGet directions
Mailing address
3513 Plano Vista Rd Ne
Rio Rancho, NM 87124-4183
Registry dates
- Enumerated
- 2013-04-30
- Last updated
- 2013-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.