Jesse R Liscomb Jr. (NPI# 1265493936, PAC ID# 2466343967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1265493936 |
| PAC ID by PECOS | 2466343967 |
| Professional Enrollment ID | I20040325000871 |
| Full Name | Jesse R Liscomb Jr. |
| Address |
95 C W Hanford Armona Rd Lemoore CA 93245-2319 |
| Phone Number | 5599243431 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050121 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 95 C W Hanford Armona Rd, Lemoore, CA 93245-2319 | 5599243431 |
| Street Address |
95 C W HANFORD ARMONA RD |
| City | LEMOORE |
| State | CA |
| Zip | 93245-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Martinez | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 755 N Lemoore Ave, Suite C, Lemoore, CA 93245-2330 |
| Gretchen Marie Lim Manipon | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 755 N Lemoore Ave, Suite C, Lemoore, CA 93245-2330 |
| Jason Dalafu | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 755 N Lemoore Ave, Suite C, Lemoore, CA 93245-2330 |
| Jeffrey Garcia | Optometry | 162 W D St, Lemoore, CA 93245-2938 | |
| Lesley Kobashi Guerra | Optometry | 162 W D St, Lemoore, CA 93245-2938 | |
| Eric W Verheul | Physical Therapy | 234 C St, Lemoore, CA 93245-2948 | |
| Darrin M Dutra | Chiropractic | 339 W D St, Suite E, Lemoore, CA 93245-2959 | |
| Ranjani Srinivasan | Registered Dietitian Or Nutrition Professional | Central Valley Indian Health Inc | 16835 Alkali Dr, Suite M, Lemoore, CA 93245-9463 |
| Esther O Mcconville | Registered Dietitian Or Nutrition Professional | Central Valley Indian Health Inc | 16835 Alkali Dr, Suite M, Lemoore, CA 93245-9463 |
| City | LEMOORE |
| Zip Code | 93245 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LEMOORE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jesse R Liscomb Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.