Healthcare Provider Details

I. General information

NPI: 1841679198
Provider Name (Legal Business Name): JESSICA LAHRE HUGHES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LAHRE

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 CAPITOL AVE DEPT 302
SACRAMENTO CA
95816-6006
US

IV. Provider business mailing address

PO BOX 255228
SACRAMENTO CA
95865-5228
US

V. Phone/Fax

Practice location:
  • Phone: 916-262-9440
  • Fax: 916-262-9445
Mailing address:
  • Phone: 800-470-0071
  • Fax: 916-854-6769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberBP10054321
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberA168389
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMD473351
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA168389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: