JESSE J LICUANAN MD A MEDICAL CORPORATION

Internal Medicine

Active Organization
NPI: 1114218559

Practice Address

3300 E SOUTH ST
SUITE 205
Lakewood, CA 90805

Phone: (562) 531-0377

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1114218559 is the National Provider Identifier for JESSE J LICUANAN MD A MEDICAL CORPORATION, a Internal Medicine provider located in Lakewood, CA. This NPI was enumerated on April 19, 2011.

Quick Facts

NPI
1114218559
Type
Organization
Enumerated
Apr 19, 2011
Last Updated
Apr 19, 2011

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