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Lauran Jackson
NPI 1063357473 · on the registry since 2026
Practice
- Address
- 10543 South Crater Road
Petersburg, VA 23805 - Phone
- (804) 481-5259
Registry record
- Primary taxonomy
- 2083T0002X
2083T0002X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-22
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 Virginia