Provider Demographics
NPI:1215190293
Name:L.C. JANES, D.O., P.C.
Entity type:Organization
Organization Name:L.C. JANES, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:JANES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-653-2101
Mailing Address - Street 1:2106 NEW RD
Mailing Address - Street 2:SUITE D7
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1046
Mailing Address - Country:US
Mailing Address - Phone:609-653-2101
Mailing Address - Fax:
Practice Address - Street 1:2106 NEW RD
Practice Address - Street 2:SUITE D7
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1046
Practice Address - Country:US
Practice Address - Phone:609-653-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB066302207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty