Jackson Lee

NPI 1669527289 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1669527289
Gender Male
Enumeration Date 01/24/2007
Last Updated 03/02/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1520 SAN PABLO ST
2000
LOS ANGELES CA, 90033-5310, US
Phone (323) 442-5860
Fax
Business Location
1200 N STATE ST
LOS ANGELES CA, 90033-1029, US
Phone (323) 226-2170
Fax (323) 226-5760
Toxanomy
Taxonomy Code 207XX0005X
License State California
License Number G62123
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According to our database, Dr. Jackson Lee NPI is 1669527289, taxonomy code is 207XX0005X and license number is G62123, license state is located at California. Jackson Lee physically located at 1520 San Pablo St, Los Angeles CA, 90033-5310. NPI Number Jackson Lee has the Individual type.

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1669527289 NPI number is provided on an as is basis without warranty of any kind. 1669527289 is maintained by the National Plan & Provider Enumeration System. The contents of Jackson Lee are for informational purposes only.