SearchNew Mexico106S00000X

Lavin Jackson

NPI 1831763598 · on the registry since 2021 · sole proprietor

Practice

Address
N36
Fruitland, NM 87416
Phone
(505) 360-8309

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2021-05-18

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 New Mexico