LACEY JACKSON LMP NPI 1417096082

NPI Information

NPI: 1417096082
Provider Name: LACEY JACKSON, LMP
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
712 TROSPER RD SW
TUMWATER, WA
ZIP 98512
Phone: (360) 570-2273
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Lacey Jackson, LMP is a specialist in Tumwater, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Lacey Jackson, LMP NPI is 1417096082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

712 TROSPER RD SW
TUMWATER, WA
ZIP 98512-934
Phone: (360) 570-2273

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MA00013081	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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