Individual
DR. JEFFREY LEE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 EAST JOLLY ROAD, LANSING, MI 48910
(517) 393-8500
(517) 393-8596
Mailing address
2500 EAST JOLLY ROAD, LANSING, MI 48910
(517) 393-8500
(517) 393-8596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11779
MI
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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