SearchMichigan101YM0800X

Lavonda Bouler

NPI 1003735275 · on the registry since 2026

Practice

Address
720 W Franklin St
Jackson, MI 49201
Phone
(734) 726-4038
Organisation at this address
Jackson Healing
Greenwood Pediatrics
Jackson Healing Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan