Jeffrey Lee Blackburn DDS

NPI 1063570679 - Dentist - 122300000X

NPI Details
NPI 1063570679
Gender Male
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2500 EAST JOLLY ROAD
LANSING MI, 48910, US
Phone (517) 393-8500
Fax (517) 393-8596
Business Location
2500 EAST JOLLY ROAD
LANSING MI, 48910, US
Phone (517) 393-8500
Fax (517) 393-8596
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 11779
Remove 1063570679 NPI Number
 

According to our database, Dr. Jeffrey Lee Blackburn DDS NPI is 1063570679, taxonomy code is 122300000X and license number is 11779, license state is located at Michigan. Jeffrey Lee Blackburn DDS physically located at 2500 East Jolly Road, Lansing MI, 48910. NPI Number Jeffrey Lee Blackburn DDS has the Individual type.

Sponsored links

1063570679 NPI number is provided on an as is basis without warranty of any kind. 1063570679 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Lee Blackburn DDS are for informational purposes only.