Individual
DR. LAURINDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(831) 325-5057
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(831) 325-5057
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101278377
VA
Other
Enumeration date
05/23/2020
Last updated
08/10/2023
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