Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 32 days before observation
Type 2 organization · NPI 1992631485
JEFF&LISA CORP
253Z00000X · PORTAGE, MI
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 253Z00000X | 253Z00000X | Primary |
| 3747P1801X | 3747P1801X | Additional |
| 376J00000X | 376J00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s