Search › Pennsylvania › 235Z00000X
Laurie Jackson
NPI 1467945089 · on the registry since 2018 · sole proprietor
Practice
- Address
- 122 Ashley Hill Dr
Wexford, PA 15090 - Phone
- (703) 955-0716
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-08
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 Pennsylvania