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Individual

AMY LEJEUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14927
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936850
AL
01
051098339
BLUE CROSS
AL
01
P00040364
RAILROAD MEDICARE
AL
Enumeration date
07/06/2006
Last updated
07/20/2011
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