Jett, Laura Lea

Jett, Laura Lea is an individual health care provider with primary practice located at 36 Essex Rd Lahey Health Primary Care, Ipswich, Ipswich MA 01938-2599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jett, Laura Lea can be contacted via phone (978) 356-5522.

Contact Information

Primary practice address
36 Essex Rd Lahey Health Primary Care, Ipswich Ipswich MA 01938-2599
Phone: (978) 356-5522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 015052 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 257310 Massachusetts

Profile Details

NPI number 1114013794
LBN Legal business name Jett, Laura Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 17th, 2017 - about 9 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 1114013794 NPPES
Massachusetts MEDICAID 110102085A
Massachusetts MEDICAID 135160099

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