Individual
MRS. LUCINDA GAIL TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 GREENWOOD AVE., JACKSON, MI 49203
(517) 787-5710
(517) 787-9855
Mailing address
1515 GREENWOOD AVE, JACKSON, MI 49203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703062049
MI
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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