Individual
DR. JENNIFER LYNNE CLEBANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UCLA PATHOLOGY AND LABORATORY MEDICINE, BOX 951732, A7-149 CHS, LOS ANGELES, CA 90095-1732
(310) 825-5719
Mailing address
UCLA PATHOLOGY AND LABORATORY MEDICINE, BOX 951732, A7-149 CHS, LOS ANGELES, CA 90095-1732
(310) 825-5719
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A103194
CA
Other
Enumeration date
12/13/2009
Last updated
12/13/2009
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