Individual
DR. JEFFREY LANE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 TRANCAS ST STE 2C, NAPA, CA 94558-2944
(707) 252-4955
(866) 304-6677
Mailing address
6939 SUNRISE BLVD STE 106, CITRUS HEIGHTS, CA 95610-3153
(916) 476-1920
(866) 304-6677
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G51713
CA
208D00000X
General Practice Physician
G51713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G517131
—
CA
Enumeration date
06/29/2006
Last updated
02/29/2024
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