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Dr. Stacy L Jackson, DC
Chiropractor in Lafayette, California
NPI 1851473466

Stacy L Jackson is a Chiropractor based in Lafayette, CA. Stacy L Jackson practices in Lafayette, CA and has the professional credentials of DC. The NPI Number for Stacy L Jackson is 1851473466 and holds a License No. 19455 (California).

The current practice location address for Stacy L Jackson is 3249 Mt Diablo Ct, Lafayette, CA and can be reached out via phone at 925-952-4222 and via fax at 925-952-4212.

Location: 3249 Mt Diablo Ct, Lafayette, CA, 94549-4084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851473466
Provider Name
Stacy L Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
3249 Mt Diablo Ct, Lafayette, CA, 94549-4084
Phone Number
925-952-4222
Fax Number
925-952-4212
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0194550 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
3249 Mt Diablo Ct
City
Lafayette
State
California
Zip
94549-4084
Phone Number
925-952-4222
Fax Number
925-952-4212
person
Provider Business Mailing Address Details
Address
3249 Mt Diablo Ct
City
Lafayette
State
California
Zip
94549-4084
Phone Number
925-952-4222
Fax Number
925-952-4212
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
19455 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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