Individual
DR. LAURA ELIZABETH EVANS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 PENN AVENUE,, AOB, SUITE 5400, PITTSBURGH, PA 15224
(412) 692-5285
(412) 692-7231
Mailing address
4401 PENN AVENUE,, AOB, SUITE 5400, PITTSBURGH, PA 15224
(412) 692-5285
(412) 692-7231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT199566
PA
Other
Enumeration date
06/17/2011
Last updated
07/31/2012
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