Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER J LACKMAN, PA
ActiveJENNIFER J LACKMAN, PA is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1184015414 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1184015414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2015 (11.53295142674 yrs)
- Last Updated
- Apr 6, 2022
- Licenses
-
5601007301 (MI)PA55661 (CA)
Practice Information
- Address
-
310 LAFAYETTE AVE SEGRAND RAPIDS, MI, 495034693Browse MI providers · Browse ZIP 49503
- Phone
- 6166858200
- Fax
- 6166858202
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE S JOHANSON | P.A.-C | 1952304982 |
| RENEE K SALYER | P.A-C | 1760481386 |
| MR. JOHN C HENDRICKS | PA-C | 1992705610 |
| CHERYL ANN SCHMITT | PA-C | 1851391031 |
| LARA ELIZABETH EVANS | PA-C | 1356343933 |
| BENJAMIN P LOYD | PA-C | 1174515167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.