Search › Ohio › 164W00000X
Lakeisha Jackson
NPI 1396240172 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6597 Ethan Dr
Reynoldsburg, OH 43068 - Phone
- (614) 214-0825
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-26
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 Ohio