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Individual
DR. DAVID LANING JESPERSEN
Active
Individual
DR. DAVID LANING JESPERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00256400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201840202
TAX ID
NJ
01
—
7040196
AETNA PROVIDER #
NJ
05
—
8270902
—
NJ
Enumeration date
05/10/2007
Last updated
02/08/2022
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