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NPI Code Detail

MEDICARE: JAN IRENE IRENE LEMA NP

MEDICARE:   JAN IRENE IRENE LEMA  NP
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
1363LA2100XAcute Care Nurse Practitioner26NJ14991000NJ

General Provider Information

NPI Number : 1265293302
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN IRENE IRENE LEMA NP
Provider Business Mailing Address
First Line : 579 WINCHESTER AVE
Second Line :
City : UNION
State : NJ
Zip : 07083-7913
Country : US
Telephone Number : 908-265-4766
Fax Number :
Provider Business Practice Location Address
First Line : 579 WINCHESTER AVE
Second Line :
City : UNION
State : NJ
Zip : 07083-7913
Country : US
Telephone Number : 908-265-4766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/16/2024

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