| NPI | 1831918580 |
|---|---|
| Doing Business As | JLC MEDICAL PRACTICE PLLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAVESA-CESANA Owner 315-356-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |