Individual
DR. JACQUELINE JEAN LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1570 FRUITVILLE PIKE, STE 100, LANCASTER, PA 17601-4056
(717) 569-6481
(717) 569-5213
Mailing address
1570 FRUITVILLE PIKE, STE 100, LANCASTER, PA 17601-4056
(717) 569-6481
(717) 569-5213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0S007660L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015110240001
—
PA
Enumeration date
07/22/2005
Last updated
12/14/2022
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