Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LANEASZE C JACKSON
Active Sole ProprietorMS. LANEASZE C JACKSON is a Bus healthcare provider located in CARBONDALE, Illinois. NPI 1316782865 is currently active in the NPPES registry. Verify at CMS.
Bus · CARBONDALE, IL
Registration Details
- NPI Number
- 1316782865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2024 (2.1307864041789 yrs)
- Last Updated
- Jun 26, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1061 E PARK ST APT 7CARBONDALE, IL, 629014031Browse IL providers · Browse ZIP 62901
- Phone
- 9375221592
- Primary Specialty
-
Bus
343900000X
- Additional Specialty
- Bus
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.