Search › Florida › 376J00000X
Lazendre Jackson
NPI 1447915103 · on the registry since 2021
Practice
- Address
- 1933 Hibiscus Ln
Riviera Beach, FL 33404 - Phone
- (561) 537-0222
- Organisation at this address
- Forever Friends Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-07
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 Florida