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Individual

DR. LUJEAN JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5315 E RIVER RD, GRAND ISLAND, NY 14072-1132
(716) 310-8590
Mailing address
5315 E RIVER RD, GRAND ISLAND, NY 14072-1132
(716) 310-8590

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
192121
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01420488
NY
Enumeration date
04/18/2006
Last updated
02/07/2013
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