Search › Ohio › 164W00000X
Lanetta Jackson, LPN
NPI 1417344664 · on the registry since 2015 · sole proprietor
Practice
- Address
- 18915 Detroit Ext Apt 406
Lakewood, OH 44107 - Phone
- (216) 703-4778
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 376J00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-16
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