SearchMississippiTransportation Broker

Lavar Jackson

NPI 1053914754 · on the registry since 2020 · sole proprietor

Practice

Address
820 Annandale Rd
Madison, MS 39110
Phone
(504) 250-1316

Registry record

Primary taxonomy
Transportation Broker
347E00000X
Sex
Male
Record last updated
2020-11-17

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 Mississippi