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NPI Code Detail

MEDICARE: DR. LORRAINE H DAJANI M.D.

MEDICARE: DR. LORRAINE H DAJANI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME49976FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437153707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORRAINE H DAJANI M.D.
Provider Business Mailing Address
First Line : 915 W MONROE ST
Second Line : SUITE 200
City : JACKSONVILLE
State : FL
Zip : 32204-1177
Country : US
Telephone Number : 904-384-2240
Fax Number : 904-384-6055
Provider Business Practice Location Address
First Line : 915 W MONROE ST
Second Line : SUITE 200
City : JACKSONVILLE
State : FL
Zip : 32204-1177
Country : US
Telephone Number : 904-384-2240
Fax Number : 904-384-6055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 03/20/2013

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