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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT LIONEL JACK, M.D.

Active

ROBERT LIONEL JACK, M.D. is a Specialist healthcare provider located in MENLO PARK, California. NPI 1376601443 is currently active in the NPPES registry. Verify at CMS.

Specialist · MENLO PARK, CA

Registration Details

NPI Number
1376601443
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2006 (19.654882207869 yrs)
Last Updated
Jan 3, 2012
License
G17236 (CA)

Practice Information

Address
1225 CRANE ST
MENLO PARK, CA, 940254257
Browse CA providers · Browse ZIP 94025
Phone
6503230231
Fax
6505658297
Primary Specialty
Specialist
174400000X

Other Specialist Providers in MENLO PARK, CA

Name Credential NPI
DIVYA RAILAN M.D. 1184665556
DR. HONOR FULLERTON STONE M.D. 1962425496
DR. JODIE L BOGOMILSKY M.D. 1104849710
MRS. BRENDA SCALLY BARRIOS MS, CTRS 1023029709
MS. SHAWNA C HILL CTRS 1730296187
BONNIE L. ROSENBERG M.D. 1033274766
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.