Dallas, Jennifer Lauren

Dallas, Jennifer Lauren is an individual health care provider with primary practice located at 2711 Randolph Rd Ste 400 , Charlotte NC 28207-2027. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Dallas, Jennifer Lauren can be contacted via phone (707) 342-9577.

Contact Information

Primary practice address
2711 Randolph Rd Ste 400 Charlotte NC 28207-2027
Phone: (707) 342-9577
Fax: (704) 377-0353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 201500282 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 066472 Georgia
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 066472 Georgia
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 066472 Georgia
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 201500282 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 201500282 North Carolina

Profile Details

NPI number 1417046343
LBN Legal business name Dallas, Jennifer Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417046343 NPPES
Georgia MEDICAID 003114517A

Popular Providers