Individual
JESSICA LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4053 LONE TREE WAY STE 100, ANTIOCH, CA 94531-6210
(925) 756-3400
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 756-3400
(510) 506-7728
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A148377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A148377
STATE MEDICAL LICENSE
CA
Enumeration date
07/22/2013
Last updated
06/03/2020
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