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Lakeshia Jackson
NPI 1881954071 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2205 Blue Bell Ter
Kearney, MO 64060 - Phone
- (816) 588-1343
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Also registered as
- 104100000X
171M00000X
385HR2060X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-21
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