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Individual
LAUREN JEANG
Active
Individual
LAUREN JEANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
274189
MA
207W00000X
Ophthalmology Physician
Primary
ME141418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104058700
—
FL
Enumeration date
04/01/2014
Last updated
06/01/2020
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