MR. THEODORE JERDES, LMP
Specialist
Active
Individual
NPI: 1992251201
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | MA 60597586 (WA) |
Frequently Asked Questions
NPI 1992251201 is the National Provider Identifier for MR. THEODORE JERDES, LMP, a Specialist provider located in Lacey, WA. This NPI was enumerated on August 27, 2016.
MR. THEODORE JERDES, LMP practices at 1210 SLEATER KINNEY RD SE, Lacey, WA 98503.
Quick Facts
- NPI
- 1992251201
- Type
- Individual
- Enumerated
- Aug 27, 2016
- Last Updated
- Aug 27, 2016
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