Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JENNIFER J LACKMAN
Active
Individual
JENNIFER J LACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007301
MI
363A00000X
Physician Assistant
Primary
PA55661
CA
Other
Enumeration date
02/09/2015
Last updated
04/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers