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Individual

JOSEPH MARK LEJEUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18166
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009920230
AL
01
051024574
BLUE CROSS
AL
05
1916331
LA
Enumeration date
10/17/2006
Last updated
08/03/2011
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