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NPI Code Detail

MEDICARE: DR. JACQUELINE LISA FLETCHER M.D.

MEDICARE: DR. JACQUELINE LISA FLETCHER 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
1207V00000XObstetrics & Gynecology PhysicianA60135CA

General Provider Information

NPI Number : 1982796009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE LISA FLETCHER M.D.
Provider Business Mailing Address
First Line : 577 AIRPORT BLVD
Second Line : SUITE 300
City : BURLINGAME
State : CA
Zip : 94010-2020
Country : US
Telephone Number : 650-240-8198
Fax Number :
Provider Business Practice Location Address
First Line : 3580 CALIFORNIA ST STE 101
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1716
Country : US
Telephone Number : 415-830-3090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/04/2020

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