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Individual

EMIKO JANE LEJEUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1740 MEMORIAL DR, CLARKSVILLE, TN 37043-4561
(931) 645-3937
Mailing address
1740 MEMORIAL DR, CLARKSVILLE, TN 37043-4561
(931) 645-3937
(931) 645-1043

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
0216
KY
231H00000X
Audiologist
Primary
1149
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110-3973866002
CIGNA
TN
05
3192569
TN
01
4035629
BLUE CROSS/ BLUE SHIELD
TN
01
5310751
AETNA HEALTHCARE
TN
01
9376162
PHCS
TN
Enumeration date
05/24/2005
Last updated
07/08/2007
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