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

JONATHAN LORD

Active Sole Proprietor

JONATHAN LORD is a Anatomic Pathology & Clinical Pathology healthcare provider located in FERNANDINA BEACH, Florida. NPI 1760939953 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · FERNANDINA BEACH, FL

Registration Details

NPI Number
1760939953
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2016 (9.9458667527434 yrs)
Last Updated
Sep 6, 2016
Licenses
36359 (KY)
106931 (FL)
Sole Proprietor
Yes

Practice Information

Address
135 LONG POINT DR
FERNANDINA BEACH, FL, 320346410
Browse FL providers · Browse ZIP 32034
Phone
9043109511
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X
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.