Jeffrey Dale Lawhead, MD Valid NPI

Individual provider · Family Medicine Physician · Bermuda Dunes, CA

NPI

1679576706

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

G146704 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2005-05-23

Last updated

2018-03-27