Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY JACKSON, LMP
Active Sole ProprietorLACEY JACKSON, LMP is a Specialist healthcare provider located in TUMWATER, Washington. NPI 1417096082 is currently active in the NPPES registry. Verify at CMS.
Specialist · TUMWATER, WA
Registration Details
- NPI Number
- 1417096082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2007 (19.489855857394 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA00013081 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
712 TROSPER RD SWTUMWATER, WA, 985126934Browse WA providers · Browse ZIP 98512
- Phone
- 3605702273
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TUMWATER, WA
| Name | Credential | NPI |
|---|---|---|
| LINDSAY ANNA TIRKO | LMP | 1811059462 |
| MRS. SARA KATE KENNEDY | LMP | 1639228687 |
| DONNA M RAGOSTA | LMP | 1033269998 |
| MRS. MIRANDA MELISSA HARDING | LMP | 1710031489 |
| MS. TAMMI RENEE MOERKE | LMP | 1265588917 |
| REID SCHRAM | LMP | 1891825675 |
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.