Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA JACKSON, CO
ActiveLAURA JACKSON, CO is a Orthotist healthcare provider located in MOORESVILLE, North Carolina. NPI 1598018962 is currently active in the NPPES registry. Verify at CMS.
Orthotist · MOORESVILLE, NC
Registration Details
- NPI Number
- 1598018962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2012 (13.83360679794 yrs)
- Last Updated
- Oct 22, 2012
Practice Information
- Address
-
123 PROFESSIONAL PARK DR STE 100MOORESVILLE, NC, 281175516Browse NC providers · Browse ZIP 28117
- Phone
- 7047999825
- Fax
- 7047999826
- Primary Specialty
-
Orthotist
222Z00000X
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.