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NPI Code Detail

MEDICARE: DR. LEMUEL PHILLIPS JENKINS M.D.

MEDICARE:  DR. LEMUEL PHILLIPS JENKINS  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
1207R00000XInternal Medicine Physician20197MS
2207RG0100XGastroenterology PhysicianMD.202862LA

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 : 1386855138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEMUEL PHILLIPS JENKINS M.D.
Provider Business Mailing Address
First Line : 131 CHEROKEE ROSE LN
Second Line : STE B
City : COVINGTON
State : LA
Zip : 70433-7244
Country : US
Telephone Number : 985-871-1721
Fax Number : 985-871-4049
Provider Business Practice Location Address
First Line : 131 CHEROKEE ROSE LN STE B
Second Line :
City : COVINGTON
State : LA
Zip : 70433-7244
Country : US
Telephone Number : 985-871-1721
Fax Number : 985-871-4049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 01/12/2021

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Directions to “ DR. LEMUEL PHILLIPS JENKINS M.D.” Practice Location

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