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Laura Elizabeth Jackson, PA-C
Surgical Physician Assistant in Issaquah, Washington
NPI 1780206060

Laura Elizabeth Jackson is a Surgical Physician Assistant based in Issaquah, WA and is specialized in Surgical. Laura Elizabeth Jackson practices in Issaquah, WA and has the professional credentials of PA-C. The NPI Number for Laura Elizabeth Jackson is 1780206060 and holds a License No. PA61221008 (Washington).

The current practice location address for Laura Elizabeth Jackson is 510 8Th Ave Ne Ste 200, Issaquah, WA and can be reached out via phone at 425-392-3030 and via fax at 425-392-2564.

Location: 510 8Th Ave Ne Ste 200, Issaquah, WA, 98029-5436
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Provider Profile Details
NPI Number
1780206060
Provider Name
Laura Elizabeth Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
510 8Th Ave Ne Ste 200, Issaquah, WA, 98029-5436
Phone Number
425-392-3030
Fax Number
425-392-2564
Provider Enumeration Date
05/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2195256 05 WA
institution
Provider Business Practice Location Address Details
Address
510 8Th Ave Ne Ste 200
City
State
Zip
98029-5436
Phone Number
425-392-3030
Fax Number
425-392-2564
person
Provider Business Mailing Address Details
Address
510 8Th Ave Ne Ste 200
City
State
Zip
98029-5436
Phone Number
425-392-3030
Fax Number
425-392-2564
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA61221008 (Washington)
Definition
Definition to come...
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