Organization
JLC MEDICAL PRACTICE PLLC
Active
Other names
JLC Medical Practice PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAVESA-CESANA MD (OWNER)
(315) 356-5060
Entity
Organization
Contact information
Practice address
91 PERIMETER RD STE 100, ROME, NY 13441-4018
(315) 356-5060
(315) 630-6013
Mailing address
91 PERIMETER RD STE 100, ROME, NY 13441-4018
(315) 356-5060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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