Individual
JENNIFER L LAKEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3600
(937) 641-5802
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.14477
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.14477
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.14477
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102190
—
OH
Enumeration date
08/12/2013
Last updated
02/19/2026
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