Lord, Jeffrey Lee

Lord, Jeffrey Lee is an individual health care provider with primary practice located at 4012 N 9Th Ave , Pensacola FL 32503-2824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lord, Jeffrey Lee can be contacted via phone (850) 444-4777.

Contact Information

Primary practice address
4012 N 9Th Ave Pensacola FL 32503-2824
Fax: (850) 434-3387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101049921 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X ME92672 Florida

Profile Details

NPI number 1144291758
LBN Legal business name Lord, Jeffrey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Nov 4th, 2016 - about 10 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 1144291758 NPPES
Florida MEDICAID 23796300

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