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Individual

DR. JACQUELINE ANN LEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Mailing address
4201 ST. ANTOINE - UHC 5D - MAILBOX #226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099138
MI
208000000X
Pediatrics Physician
Primary
4301099138
MI

Other

Enumeration date
08/08/2011
Last updated
03/03/2016
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