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Lacey Jackson, LMP
Specialist in Tumwater, Washington
NPI 1417096082

Lacey Jackson is a Specialist based in Tumwater, WA. Lacey Jackson practices in Tumwater, WA and has the professional credentials of LMP. The NPI Number for Lacey Jackson is 1417096082 and holds a License No. MA00013081 (Washington).

The current practice location address for Lacey Jackson is 712 Trosper Rd Sw, Tumwater, WA and can be reached out via phone at 360-570-2273.

Location: 712 Trosper Rd Sw, Tumwater, WA, 98511-4654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417096082
Provider Name
Lacey Jackson
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
712 Trosper Rd Sw, Tumwater, WA, 98511-4654
Phone Number
360-570-2273
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
712 Trosper Rd Sw
City
Tumwater
State
Washington
Zip
98512-6934
Phone Number
360-570-2273
Fax Number
person
Provider Business Mailing Address Details
Address
712 Trosper Rd Sw
City
Tumwater
State
Washington
Zip
98512-6934
Phone Number
360-570-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00013081 (Washington)
Definition
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.
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