MEDICARE: MR. JACK LANSDOWNE

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1467298315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JACK LANSDOWNE

Provider Business Mailing Address
First Line	:	1274 AVONDALE AVE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-3846
Country	:	US
Telephone Number	:	706-267-1176
Fax Number	:

Provider Business Practice Location Address
First Line	:	1274 AVONDALE AVE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-3846
Country	:	US
Telephone Number	:	706-267-1176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/01/2024

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