Jlr Family Practice, PC

NPI #1710185319 in Jasper, Indiana

Provider Information

NPI Number
1710185319
Entity Type
Organization
Organization Name
Jlr Family Practice, PC
Primary Specialty
Family Medicine
Enumeration Date
Jul 5, 2007
Last Updated
Apr 19, 2008

Practice Location

Address
3404 NEWTON ST
City
Jasper
State
Indiana
ZIP Code
47546-1020
Phone
(812) 634-7726

Authorized Official

Name
JENNIFER LYNN RICHARDSON
Title
PRESIDENT
Phone
(812) 634-7726

Specialties & Taxonomy Codes

Specialty
Family Medicine

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