SearchMinnesota207ZF0201X

Lorren Jackson, M.D

NPI 1073725321 · on the registry since 2007 · sole proprietor

Practice

Address
530 Chicago Ave
Minneapolis, MN 55415
Phone
(612) 215-6300
Clinicians at this address
4

Registry record

Primary taxonomy
207ZF0201X
207ZF0201X
Also registered as
207ZP0101X
Licence states on file
MN, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-12

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 Minnesota