Lesa Jordan MD

NPI 1073560652 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073560652
Gender Female
Enumeration Date 05/28/2006
Last Updated 08/05/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
710 N MAIN ST
MEMPHIS TN, 38107-2310, US
Phone (901) 626-2266
Fax
Business Location
710 N MAIN ST
MEMPHIS TN, 38107-2310, US
Phone (901) 626-2266
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Tennessee
License Number 35942
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According to our database, Lesa Jordan MD NPI is 1073560652, taxonomy code is 207P00000X and license number is 35942, license state is located at Tennessee. Lesa Jordan MD physically located at 710 N Main St, Memphis TN, 38107-2310. NPI Number Lesa Jordan MD has the Individual type.

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1073560652 NPI number is provided on an as is basis without warranty of any kind. 1073560652 is maintained by the National Plan & Provider Enumeration System. The contents of Lesa Jordan MD are for informational purposes only.