Individual
DR. LAURA LEA JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36 ESSEX RD, LAHEY HEALTH PRIMARY CARE, IPSWICH, IPSWICH, MA 01938-2599
(978) 356-5522
Mailing address
36 ESSEX RD, LAHEY HEALTH PRIMARY CARE, IPSWICH, IPSWICH, MA 01938-2599
(978) 356-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
015052
ME
207Q00000X
Family Medicine Physician
Primary
257310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102085A
—
MA
05
—
135160099
—
ME
Enumeration date
10/04/2006
Last updated
03/17/2017
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