Search › Missouri › 106S00000X
Lacey Jackson
NPI 1669031514 · on the registry since 2019 · sole proprietor
Practice
- Address
- 124 Lisa Ave
Lathrop, MO 64465 - Phone
- (816) 398-3255
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2019-06-12
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 Missouri