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NPI Code Detail

MEDICARE: JEAN MARGARET LAWSON SAINT HILL I

MEDICARE: JEAN MARGARET LAWSON SAINT HILL I
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1902035827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN MARGARET LAWSON SAINT HILL I
Provider Business Mailing Address
First Line : 301 N SAN DIMAS CANYON RD
Second Line : UNIT#40
City : SAN DIMAS
State : CA
Zip : 91773-2741
Country : US
Telephone Number : 209-620-1653
Fax Number :
Provider Business Practice Location Address
First Line : 4626 N GRAND AVE
Second Line : SUITE D
City : COVINA
State : CA
Zip : 91724-2055
Country : US
Telephone Number : 209-620-1653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 07/13/2009

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