Individual
MRS. LORENE ALLEN-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13601 PRESTON RD STE 210W, DALLAS, TX 75240-4986
(972) 702-0300
Mailing address
PO BOX 1024, LINDEN, TX 75563-1024
(903) 926-1244
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
146312
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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