Lord, Jayson A

Lord, Jayson A is an individual health care provider with primary practice located at 212 N 2Nd St , Leesburg FL 34748-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lord, Jayson A can be contacted via phone (352) 435-0723.

Contact Information

Primary practice address
212 N 2Nd St Leesburg FL 34748-5103
Phone: (352) 435-0723
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME72864 Florida

Profile Details

NPI number 1285625046
LBN Legal business name Lord, Jayson A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 21st, 2021 - about 4 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 1285625046 NPPES
Florida MEDICAID 256879902

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