Jason O Lee in West Hartford - Clinical & Laboratory Immunology
Jason O Lee - NPI 1760463400
Jason O Lee is a Clinical & Laboratory Immunology in West Hartford, Connecticut. Jason O Lee practices all healthcare services and medical treatments related to Clinical & Laboratory Immunology. The NPI Number for Jason O Lee is 1760463400. The last update date is 2022-04-14.
Jason O Lee's current location address is 836 Farmington Avenue, West Hartford, Connecticut. You can contact this provider via phone number 8602329911 and fax number 8602335996. The mailing address for Jason O Lee is 836 Farmington Avenue, West Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jason O Lee |
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Address | 836 Farmington Avenue, West Hartford, Connecticut |
Phone Number | 8602329911 |
Fax Number | 8602335996 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1760463400 |
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Provider Enumeration Date | 2005-11-09 |
Last Updated Date | 2022-04-14 |
Provider Mailing Address Detail
Address | 836 Farmington Avenue |
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City | West Hartford |
State | Connecticut (CT) |
Post Code | 6119 |
Phone Number | 8602329911 |
Fax Number | 8602335996 |
Provider's Primary Taxonomy Detail
Speciality | Clinical & Laboratory Immunology |
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Taxonomy | 207Ki0005X |
Licence No | 38654 |
Definition: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
43518 | AETNA | ||
1386540 | CT | -- | |
138654000 | CT | -- | |
1179424002 | CIGNA | ||
4394508 | MEDICAID GROUP CAAC | ||
224829 | PREFERRED ONE | ||
38654 | CONNECTICARE | ||
OV7942 | CT | -- | |
P2666151 | OXFORD | ||
010038654CT01 | BLUE CROSS |
Post Comment/ Review Below
What is the Jason O Lee's unique identification number?
The Jason O Lee has been assigned the NPI (National Provider Identifier) Number 1760463400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jason O Lee?
The Jason O Lee is situated at 836 Farmington Avenue, in the city of West Hartford, state of CT, with the zip code 6119.
What is Jason O Lee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason O Lee is Clinical & Laboratory Immunology, and the corresponding taxonomy classification code for this specialized field is 207Ki0005X.
On what date did the Jason O Lee receive the assignment of its 1760463400 from the Centers for Medicare & Medicaid Services?
The Jason O Lee was issued its 1760463400 by the Centers for Medicare & Medicaid Services on 2005-11-09.
As of what date were the Jason O Lee's details last updated?
The information pertaining to the Jason O Lee, including its address, specialty, and other details, was most recently updated on 2022-04-14.